Hospital readmission is a high-priority health care quality measure and target for cost
reduction. Despite broad interest in readmission, relatively little research has focused on …

Hospital readmissions are common and costly; this has resulted in their emergence as a key
quality indicator in the current era of renewed focus on cost containment. However, many …

Provider groups taking on risk for the overall costs of care in accountable care organizations
are developing care management programs to improve care and thereby control costs …

As policy makers seek to slow the growth in Medicare spending, they have appropriately
focused attention on beneficiaries with multiple chronic conditions. Many care coordination …

Background Systematic attempts to identify best practices for reducing hospital readmissions
have been limited without a comprehensive framework for categorizing prior interventions …

Hospitals began paying financial penalties for high-risk–adjusted 30-day readmission rates
for certain diagnoses in October 2012. Physician leaders seeking to reduce readmission …

Patients with the most complex health profiles consume a disproportionate percentage of
health care expenditures, yet often receive fragmented, suboptimal care. Since 2003 …

Background: The older adult population is expanding, living longer, with multiple chronic
conditions. Understanding and managing their needs over time is an integral part of defining …

Using literature review and interviews, we have identified 8 attributes of programs, such as
accountable care organizations, readmission initiatives, special needs plans, care transition …

Background We designed and tested an innovative transitional care program, involving
cardiac surgery nurse practitioners, to improve care continuity after patient discharge home …