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In value-based care, it takes a village of professionals to ensure patients are well cared for and practices meet benchmarks. Community health workers are emerging as key players in helping to achieve these goals.
Patient data is vital to value-based care. However, managing it can be difficult. Working with a partner can help practices get a better return on their investment.
Value-based care has a clear goal: to provide the highest-quality, most equitable patient care while controlling costs. As a growing number of hospitals and healthcare systems gravitate toward this care model, utilization management (UM) has emerged as a fundamental component to successful implementation. Doctors are well equipped to identify the services a patient needs, but they need a partner who can ensure patients receive those services in the right setting for the optimal price. This is where UM nurses step in to be that collaborator. UM nurses serve as a liaison between providers and payers. They review patient clinical records