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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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Will New Medicaid Policies Put Hospital Margins at Risk?

EvidenceCare

Written by Carol Howard, VP of Clinical Strategy After a tough few years marked by the pandemic, staffing shortages, and rising costs, hospitals are finally starting to catch their breath. New data reveals a rebound in hospital margins, offering hope for health systems. and operating margins to 5.2%.

Hospital 130
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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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How Denver Health Reduced Length of Stay: A Step-by-Step Guide

EvidenceCare

Interview by Dr. Brian Fengler, Co-Founder and Chief Medical Officer Hospital length of stay (LOS) is a critical operational and clinical metric that directly impacts cost, patient flow, and care access. Many staff believed longer stays were justified due to the hospitals complex patient population.

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Insights from Digital Health Leaders at ViVE 2025

EvidenceCare

Instead, he sees an opportunity to integrate multiple services to support both hospital and overall wellness goals. Wilcoxs journey into digital health started with a simple observation: patients in the post-anesthesia care unit were experiencing unnecessary delays in discharge, leading to longer hospital stays.

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

Guideway Care

Cost reduction strategies in BPCI focus on linking payment to performance, utilizing predictive analytics and interprofessional collaboration to lower expenses while maintaining high-quality care. At its heart, the BPCI program emphasizes strong collaboration between healthcare providers as essential for enhancing patient experiences.

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The Top Patient Safety Risks in 2025 Are Mostly About the “Human OS” – Reading ECRI’s Annual Report

Health Populi

as more patients get discharged to hospital-for-home and more acute-care workflows that fall on burdened caregivers (that is, family members and friends). Here is ECRI’s list of patient safety concerns a decade ago in 2015. Many more of these have to do with “technology” and devices (e.g., With 3 in 5 U.S.