In Massachusetts’ largest Medicaid accountable care organization (ACO), high-risk care management significantly reduced spending, emergency department visits, and hospitalizations, demonstrating that ...

Objectives: We assessed whether proactive care management for artificial intelligence (AI)–identified at-risk patients reduced preventable emergency department (ED) visits and hospital admissions (HAs ...

Ed Gaudet is the CEO and Founder of Censinet, a healthcare risk management platform, and member of the Health Sector Coordinating Council. Merriam-Webster defines systemic risk as "the risk that the ...

A new study by UCLA and Kaiser Permanente Northwest's Center for Health Research demonstrates a health care approach matching ...

Are you interested in regulatory compliance and risk management jobs in the healthcare or business finance industry? Compliance-related jobs are one of the hottest growth areas in the U.S., with the ...

OSF HealthCare, a health system that serves Illinois and Michigan, had a big challenge: Managing the high rate of patient readmissions from hospitals to skilled nursing facilities and eventually to ...

Without PRAMS, the U.S. will be less able to direct public resources toward the most effective interventions for meeting ...

New Jersey Treasury Department officials are warning about rising costs and spiraling structural deficiencies in the State Health Benefits Program, which provides health care coverage used by hundreds ...