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Care Transitions


Best practices for safeguarding patient care transitions during COVID-19

Are patients becoming caught in a transitional “no-man’s land” due to COVID-19? As providers continue to look to discharge their patients out of the acute setting as quickly and safely as possible, it’s more important than ever for health plans, providers and post-acute care centers to collaborate for the sake of their patients. Jay LaBine, MD, Chief Medical Officer at naviHealth, pens the latest Essential Insights and gives best practices to help safeguard patient care transitions during COVID-19.


Helping High-Risk Patients Stay Healthier and at Home

At Cardinal Health, we support healthcare leaders as they implement best practices to transform patient care. A particular focus for many of them, as a result of a rapidly aging population and ever-increasing healthcare costs, is the prevention of avoidable hospital readmissions for high-risk patients.

Here, we visit with two such leaders, one a naviHealth customer, and the other the recipient of a Cardinal Health Foundation E3 Grant. With very different approaches, each is working to help improve the quality of life for seniors with multiple chronic conditions, and, at the same time, is reducing healthcare costs.


The impact of case management as a tool under MACRA

A recent study, Value Based Purchasing and Nursing Case Management, revealed that case management contributes to the reduction of hospital admissions and discharges, emergency visits, hospital readmissions and to the development of care programs to support these objectives. These findings included cost estimates and benefits of case management – a practice at the heart of care transitions – to support value-based care goals.

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