The authors present findings of a randomized evaluation of Medicaid patients at an academic medical center, which found that intensive care management was associated with reduced total medical expense ...

When a randomized evaluation finds null results, it is important to understand why. We investigated two very different explanations for the finding from a randomized evaluation that the Camden ...

Associations between intervention dosage and hospital use outcomes were observed among patients enrolled in a care management program serving individuals with complex needs. Objectives: The purpose of ...

The Camden Coalition's care management model has a return on investment because it reduces hospital readmissions, emergency department utilization, and overall healthcare spending. The Camden ...

The care of patients with complex medical needs is widely regarded as one of the key factors driving increased U.S. health costs, and it is generally accepted that 10 to 15 percent of Medicare ...

Care delivery is increasingly shifting out of the four walls of the hospital, a trend accelerated by the COVID-19 pandemic. But the lack of necessary infrastructure to support this digital health ...

Evernorth's Accredo specialty pharmacy arm has rolled out a new program that aims to assist members and plan sponsors in better managing the cost and complexity of therapies for rare conditions.

Chronic diseases kill over 1.7 million Americans each year, making them the country’s leading cause of death. This number only continues to go up, and it’s clear that today’s sick-care model isn’t ...

A proposed rule issued July 8 by the Centers for Medicare & Medicaid Services (CMS) would update payment policies and payment rates for services furnished under the Medicare Physician Fee Schedule ...

Medicare's 2025 APCM billing update pays primary care physicians a monthly per-patient fee for care management; no ...

A national long-term care operator says genetic testing will help fine-tune medication management and reduce the potential for drug harms in a growing population of residents who require complex care.