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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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Nursing Students Create Clothes Drive for Discharged Hospital Patients

Scrubs

Lots of hospital patients do not have anything to wear when they finally get the all-clear to go home. That’s what happened to a man experiencing homelessness when he went to a hospital in Milwaukee, Wisconsin with a gunshot wound. All these hospitals have graciously taken students into their hospitals for training.

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Nurse Discharged After “Hugging” Colleague 

Scrubs

He was discharged from Auckland City Hospital without conviction after accidentally making one of his coworkers uncomfortable. He was then discharged on the spot. He worked in the construction industry for years before training to become a nurse at Auckland City Hospital in 2015. The incident occurred in February 2021.

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Closed Hospital Owes Former Employees $2 Million in Alleged Wage Theft

Scrubs

The Madera Community Hospital in California closed its doors in January after struggling to pay its bills. But a member of the board recently confirmed that the hospital still owes some $2 million to former employees in the form of unused vacation time, sick time, and other compensation time based on the facility’s records.

Hospital 244
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Fired Nurse Wins Unemployment Benefits After Being Assaulted by Combative Patient

Scrubs

The hospital terminated her for violating its policies by failing to restrain the patient. The man in question arrived at the hospital wielding a hammer just before 4 AM local time. The man was then discharged from the hospital and put in the county jail.

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CNOs Share Their Hopes (And Fears) for Virtual Nursing

Scrubs

Trinity Health announced it will introduce virtual nursing at its hospitals in Michigan and Ardent Health Services plans to do the same in New Mexico. It can also reduce the workload at the bedside by having remote nurses do admissions, discharges, and answer questions virtually. But not everyone agrees on the merits of this approach.

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NICU Nurse Adopts Teen Mom of Three Preemie Triplets

Scrubs

When Small’s babies were discharged from the hospital several months after she gave birth, Mullen asked if they could exchange numbers, and the two have been a part of each other’s lives ever since. That’s one of the things we clicked on while I was in the hospital.” But their relationship didn’t end there.