Care Coordination & Referrals
Expert articles and analysis related to care coordination & referrals.
AI Summary — Last 30 Days
Over the past 30 days, CMS, under the Trump administration, has advanced a significant structural pivot toward technology-enabled, outcomes-based care coordination through the voluntary ACCESS model, selecting 150 digital health partners and providers to test leaner, results-tied payments in chronic disease management—including diabetes, obesity, musculoskeletal pain, and depression. This model’s lower-than-expected payment rates and voluntary participation have prompted strategic recalibrations among ACOs, health systems, and tech firms, who are now vying to demonstrate scalable population health impact and cost savings—underscoring an intensifying emphasis on ROI-driven care enablement, partnership selection, and digital platform performance. Simultaneously, AI-driven care coordination solutions are rapidly scaling, with firms like Zynix AI deploying "Care Execution Agents" across nearly 1 million value-based care lives, illustrating a broader shift toward automation and actionable data integration as central enablers for VBC-era referral management and care transitions. Key sources: CMS announces 150 participants for ACCESS model, Zynix AI deploys Care Execution Agents at scale
Related Articles
Cleveland Clinic expands hospital at home in Ohio
Cleveland Clinic is expanding its Hospital Care At Home program to Northeast Ohio, beginning on Cleveland's west side. The program allows patients to receive acute care at home that is comparable to w...
Value Based Care Benefits of Strong Acute and Post-Acute Care Collaboration
Value Based Care Benefits of Strong Acute and Post-Acute Care Collaboration Healthcare IT Today
Pediatric home health care oversight: Why accountability is failing
When my medically complex son Declan came home from the hospital, he needed round-the-clock care, 24 hours a day, 365 days a year. A full-time worker puts in about 1,960 hours a year, assuming 40 hour...
CMS launches model to improve care coordination for children and families
CMS launches model to improve care coordination for children and families American Medical Association
The Limits Of Efficiency In Home Health’s Cost-Cutting Era
The Power of Listening: Dr. John Lafferty and the Impact of In-home Health Visits
The Power of Listening: Dr. John Lafferty and the Impact of In-home Health Visits Signify Health
Beyond the Checklist: MARly App Introduces Caregiver OS to Detect Early Changes in Condition and Organize Care at Home
Beyond the Checklist: MARly App Introduces Caregiver OS to Detect Early Changes in Condition and Organize Care at Home Morningstar
Hospital Systems Are Top Opportunity For Referral Growth In Home-Based Care
Hospital Systems Are Top Opportunity For Referral Growth In Home-Based Care
Hospital Systems Are Top Opportunity For Referral Growth In Home-Based Care Home Health Care News
The post-acute blind spot: Why what happens after discharge matters more than ever
Post-acute care is healthcare’s biggest blind spot — and a major opportunity.