Tag Archives: hospital readmissions

Identifying population risk in new members requires aggregated health status data

As new enrollees enter the market from public exchanges and expanded Medicaid programs, health plans must determine how to appropriately assess member health in order to align interventions and better predict costs. Doing so effectively, however, requires having access to as much information as possible. A combination of multiple data sets — including claims-based data […]
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Released but not forgotten: Improving the patient discharge process

It used to be that hospitals behaved like restaurants. Once a patron eats a meal and pays their bill, they walk out the door and the restaurant’s responsibility to provide a great product and service ends. In today’s regulatory environment, however, patient care doesn’t end when a patient checks out of the hospital.

Understanding the root causes of patient rebounding

No health care provider ever wants to see a patient return to the ER or their office due to complications from a prior illness. But emergency room rebounding and hospital readmissions happen, and it’s up to healthcare leaders to understand how and why to fix the problem.