Care Coordination & Referrals
Expert articles and analysis related to care coordination & referrals.
AI Summary — Last 30 Days
CMS is pushing care coordination from a “nice-to-have” capability into a payment-model requirement, with mandatory joint-replacement expansion through TEAM creating stronger incentives for hospitals to manage referrals, discharge planning, home health relationships, and post-acute spend across episodes of care. At the same time, NCQA’s move toward person-centered outcome measures for SNPs and ECDS-based Transitions of Care reporting signals that referral management and care-plan execution will increasingly be judged through digital, patient-centered quality infrastructure—not just claims lag or process documentation. For ACOs, hospitals, home health agencies, and payers, the strategic pressure is converging around building preferred post-acute networks, specialist alignment, and interoperable care-transition workflows before expanded accountability models such as TEAM and digital quality requirements like HEDIS ECDS Transitions of Care become operational constraints.
Related Articles
HealthSnap lands $25M for AI virtual care management platform
HealthSnap lands $25M for AI virtual care management platform MobiHealthNews
Unite Us Strengthens Closed-Loop Referral Model with Vircho Acquisition
Unite Us Strengthens Closed-Loop Referral Model with Vircho Acquisition HCI Innovation Group
CVS enhances supports for patients taking GLP-1s
CVS enhances supports for patients taking GLP-1s Fierce Healthcare
Expanding Lung Cancer Screening: Identifying High-Risk Patients Earlier
Lung cancer remains one of the most serious cancer threats worldwide and the leading cause of can
Baltimore Is Rethinking What It Means To Call 911 — And Who Responds
From newsletter: The Week in Brief: Officials Struggle To Control Cyclospora Outbreak The Week in Brief: Officials Struggle To Control Cyclospora Outbreak Plus: Disputes over opioid settlement money; ...
Why Open Communication Across Specialties Is Critical to Complex SM Care
Shared cardiac PET programs can expand access while controlling costs
<p>Access to cardiac PET remains limited, but working together with radiology departments is one way to overcome the significant capital investment.</p>
Millie joins UCSF Health's clinically integrated network to coordinate maternity care
Millie joins UCSF Health's clinically integrated network to coordinate maternity care Fierce Healthcare