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In value-based care, the reporting of data drives all decisions and actions. When practices do not have sufficient reporting material, or they do not fully leverage the analytical tools they have, they quickly learn what a challenge it can be to keep patients healthy and drive success in a value-based model. Reportable and actionable data management can be a challenge to many private practices. It consumes a lot of time and administrative resources to collect and analyze data so that providers can make informed healthcare decisions. Without back-end support to manage data, practices often fall behind, which leads to negative
Emergency department visits are expensive and can be avoidable. At-home care organizations can reduce encounters, save money, and improve outcomes.
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