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Care Coordination & Management

Expert articles and analysis related to care coordination & management.

200 articles‱Last 7 Days

AI Summary — Last 7 Days

Care coordination is shifting from a “care management program” into core operating infrastructure for VBC: Prisma Health’s clinically integrated network is embedding care managers in primary care, transitions nurses in hospitals, ED navigators for high-utilizing Medicaid patients, and interdisciplinary Care Team Pods to turn data into frontline action across attributed populations (Prisma Health care strategy). The same operational thesis is showing up across settings—nursing homes preparing for LEAD ACO participation need attribution, referral, documentation, and quality-management capabilities, while independent practices are reassessing whether ACO participation can fund the staffing, analytics, and workflow redesign needed for downside-risk performance. At the federal level, CMS under the Trump administration is pushing new health-tech initiatives branded “Making Health Tech Great Again,” creating upside for AI-enabled population health and rural care coordination but also tension around implementation burden, vendor fragmentation, and whether technology will actually reduce admissions and total cost of care rather than add another layer of complexity (CMS health tech initiatives).

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