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The healthcare industry has been transitioning from a service-based to a value-based payment system. With CMS evolving from a passive payer to a prudent buyer of care, hospitals depend on the case management department to balance both clinical and financial outcomes. Case management provides a structure to ensure that the interdisciplinary healthcare team provides patients with appropriate services through different levels of care as delineated in the regulatory standards and guidelines and by the accrediting agencies.
This series will focus on the role of the case management department in a value-based reimbursement environment and how value-based reimbursement impacts case managers. This series will provide case managers, nurse case managers, social workers, and case management leaders with the latest information needed to produce optimal outcome for their organizations.
This program will review the latest outcome measures in the field of case management and provide examples of benchmarks and dashboards with value-based reimbursement metrics case managers can create to track trends and results over time.