Care Coordination

The Scheduling Fix Hospitals Keep Ignoring

George Padron
Prior Authorization & Appeals, Healthcare Headlines, Practice Management, Care Coordination | Apr 3, 2026
Smoothing elective hospital admissions reduces ER boarding, nurse turnover, and mortality, yet most U.S. hospitals have not adopted the proven strategy.

Telehealth Adoption by Mental Health Specialists Has Not Closed the Rural Access Gap

Sonia Reyes
Medicare/Medicaid Updates, Financial Assistance Programs, Healthcare Headlines, Telehealth & Virtual Care, Care Coordination | Mar 20, 2026
A Medicare cohort study finds telemedicine uptake barely improved mental health access in rural or shortage areas, pointing to the need for targeted policy reform.

AMA Updates Maternity Code as Billing Catches Up To Birth

George Padron
Reimbursement Changes, Care Coordination | Mar 3, 2026
Starting January 2027, the AMA's new itemized maternity CPT codes will give managed care plans earlier visibility into member pregnancies, supporting better care coordination and outcomes.

Antidepressant Discontinuation in Pregnancy Leads to Increased ED Costs and Utilization

Sonia Reyes
Cost-Effective Analysis, Public Health Initiatives, Practice Management, Care Coordination | Feb 13, 2026
SMFM research links SSRI/SNRI discontinuation in pregnancy to nearly double the psychiatric ED utilization, with downstream costs in preterm birth and postpartum care that health plans should monitor.

Maternal Mortality Data Challenges Health Plan Risk Assessment Models

Sonia Reyes
Coverage Navigation Strategies, Public Health Initiatives, Care Coordination | Jan 25, 2026
Updated mortality data reveal pregnancy carries a 44 to 70 times higher death risk than abortion, challenging managed care quality metrics and risk stratification protocols.