Impact of a Scalable Care Transitions Program for Readmission Avoidance
The 30-day readmission risk was reduced 25% by a collaborative program model employing discharge planning and telephonic follow-up for high-risk patients with CMS penalty diagnoses.
Impact of Predictive Model-Directed End-of-Life Counseling for Medicare Beneficiaries
A telephonic counseling program, directed by a predictive model, reduced end-of-life costs by 4.5% within 2 Medicare Health Support pilot programs.
Managing the Metric vs Managing the Patient: The Physician's View of Pay for Performance
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