Hospital readmission is costly and often leads to poor outcomes and even higher risk of mortality. Transitional care management aims to reduce readmission and improve patient outcomes.
Social determinants of health (SDOH) impact healthcare for Medicaid patients. Community health worker/payer partnerships help mitigate SDOH and reduce unnecessary ED visits.
Providers face some financial risk under value-based care. Risk adjustment coders safeguard payments by auditing files for accurate coding.