Care Coordination & Management
Expert articles and analysis related to care coordination & management.
AI Summary — Last 30 Days
Care coordination is shifting from broad primary-care attribution toward more specialized, technology-enabled risk models: Blue Cross NC’s Advanced Kidney Care program shows payers moving CKD/ESRD management into risk-aligned specialty partnerships, while Prisma Health’s embedded care managers, transitions nurses, ED navigators, pharmacists, behavioral health staff, and social workers illustrate the operational infrastructure needed to turn population health data into frontline action (Blue Cross NC AKC case study; Prisma Health care strategy). The strategic tension for ACOs and health systems is scale: home-based and complex-care models such as Independence at Home continue to show promise but expose workforce, attribution, and unit-economics constraints, even as CMS under the Trump administration advances mandatory and technology-enabled Medicare models that push providers to build longitudinal care management, risk stratification, and specialty integration capabilities faster.
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