Admissions from the ED
The New York Times recently reported on allegations that a hospital chain was unnecessarily admitting patients from the emergency department (ED) to increase revenues from Medicare and Medicaid[1]. According to the article, one hospital was accused of maintaining a scorecard to keep track of physicians who did not meet a target of admitting at least … Admissions from the ED
Medicaid Population Management
In previous blogs, we’ve discussed Population Management concepts and given specific examples of pediatrics, ACO, and clinical populations. In this blog we turn to the Medicaid population. Medicaid has unique characteristics because of the nature of the financing and because of the social demographics of the population served. This population is going through big changes … Medicaid Population Management