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Navigating Medicare Advantage: Strategies for Hospitals to Tackle Growing Challenges

EvidenceCare

Written by Carol Howard, VP of Clinical Strategy As Medicare Advantage (MA) continues to grow, hospitals have faced growing challenges in navigating complex policies, payer friction, and financial pressures. These changes will impact how hospitals approach their contracts and denial strategies.

Hospital 130
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Reducing Clinical Variation: A Practical Guide for Health System Leaders

EvidenceCare

Behind every excess test, unnecessary admission, or prolonged length of stay lies a variation in practice—often unintentional, sometimes unavoidable, but frequently addressable. It can lead to unnecessary tests, treatments, admissions, and extended hospital stays , all of which inflate costs and introduce potential harm to patients.

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Engaging Physicians in Quality Improvement: Strategies for Driving Practice Change

EvidenceCare

When clinical teams embed learning into daily routines, reducing clinical variation becomes achievable and practice improvement in hospitals shifts from an initiative to a habit. Real-time dashboards can also flag length of stay variance, prompting collaboration to streamline processes and free up capacity for higher-acuity admissions.

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Is A Health Unit Coordinator Job Hard?

We Care Online

Health Unit Coordinators perform crucial administrative functions in hospitals, clinics, and healthcare facilities, freeing up medical staff to spend more time with patients. Managing admissions, transfers and discharges. Common tasks include: Managing patient records. Arranging appointments for tests and procedures.

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AI is Transforming Healthcare Behind the Scenes

Mobius MD

By predicting admissions and discharge patterns, AI helps prevent overcrowding and reduces wait times. Optimizing the Supply Chain Like patient flow management, hospitals and clinics rely on a steady flow of medical supplies and medications to provide effective care. Yet supply chain disruptions remain a common challenge.

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How BPCI Enhances Patient Experience and Lowers Costs: A Comprehensive Guide

Guideway Care

Advancing these efforts, the BPCI Advanced model introduces a consolidated retrospective payment system that addresses services within a 90-day period following discharge or outpatient procedures. Collaborating with community-based resources allows hospitals participating in the BPCI to more adeptly aid those who are most at risk.

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A ‘SEET’ at the Table: Managing the Four Drivers of Patient Experience

Walker Info - Patient Experience

Improving Access and Outcomes Using Success, Effort, Emotion, and Trust Metrics A nurse enters a hospital room for a routine blood draw. Hospitals with higher patient experience scores report a 161% better net margin than competitors with low scores. [1] She greets the patient, explains why she is there, and begins the task.