Oversight of the practice of case management is a complex process. A number of moving parts must be factored in, including education, credentialing, and professional qualifications.
The 2020 Medicare Physician Fee Schedule proposed rule included signficiant proposals related to coding and payment options for transitional, chronic, and principal care management services as well as revised language for the list of typical care plan elements for chronic care management.
Older adults are dying from falls in increasing numbers, according to a June 4 research letter published in JAMA. For reasons that aren’t yet clear, the number of adults age 75 and older who died from a fall rose from 8,613 in 2000 to 25,189 in 2016.
The field of case management is rapidly evolving as hospital leaders look to case managers to help them meet a host of new regulatory requirements and financial goals. But too often this has put undue pressure on case managers and taken focus off their most important job—coordinating care.
Case managers have long faced challenges related to caring for patients who are affected by social determinants of health. These factors have become even more of an issue since the implementation of healthcare reform, with the introduction of accountable care organizations and other innovative projects.
