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Navigating Medicare Advantage: Strategies for Hospitals to Tackle Growing Challenges

EvidenceCare

Written by Carol Howard, VP of Clinical Strategy As Medicare Advantage (MA) continues to grow, hospitals have faced growing challenges in navigating complex policies, payer friction, and financial pressures. These changes will impact how hospitals approach their contracts and denial strategies.

Hospital 130
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Insights from Digital Health Leaders at ViVE 2025

EvidenceCare

Instead, he sees an opportunity to integrate multiple services to support both hospital and overall wellness goals. Wilcoxs journey into digital health started with a simple observation: patients in the post-anesthesia care unit were experiencing unnecessary delays in discharge, leading to longer hospital stays.

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Choosing a Control Group

Sensible Medicine

Patients may develop a disease that requires admission to the hospital, mostly because of lung problems, such as the need for oxygen. Indirect organ damage is common in medical conditions that are severe enough to warrant admission to the hospital. The disease might affect other organs—either directly or indirectly.

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How Philips Has Pivoted In the COVID-19 Pandemic: Connected Care From Hospital to Home

Health Populi

I’d interviewed Roy at CES 2020 in Las Vegas in January to catch up on consumer health developments, and the March meeting was going to cover Philips’ innovations on the hospital and acute care side of the business, as well as to learn more about Roy’s new role as head of Connected Care.

Hospital 149
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The Top Patient Safety Risks in 2025 Are Mostly About the “Human OS” – Reading ECRI’s Annual Report

Health Populi

as more patients get discharged to hospital-for-home and more acute-care workflows that fall on burdened caregivers (that is, family members and friends). Here is ECRI’s list of patient safety concerns a decade ago in 2015. Many more of these have to do with “technology” and devices (e.g., With 3 in 5 U.S.

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Jefferson Health Announces Partnership with Prepared Health to Coordinate Care Transitions From Hospital to Home

Electronic Health Reporter

Jefferson Health, a 14-hospital system in Philadelphia and New Jersey with more than $5 billion in revenue, named Chicago-based Prepared Health its digital technology partner for post-acute and transitional care. Illegal copying is prohibited.

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New Insights on Medicare Advantage Plans and The Two-Midnight Rule

EvidenceCare

In case you aren’t familiar, the Two-Midnight Rule mandates that a patient’s hospital stay must span at least two midnights to qualify for inpatient status, directly influencing reimbursement rates and compliance requirements. In the MA Final Rule, however, CMS explicitly states that the two-midnight presumption does not apply to MA plans.