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  2. Case management (US healthcare system) - Wikipedia

    en.wikipedia.org/wiki/Case_management_(US...

    The generic model used in the United States is the chronic care model, which holds that health care does not only involve change in the patient and that high-quality disease care counts the community, the health system, self-management support, delivery system design, decision support, and clinical information systems as important elements in ...

  3. Oncology Care Model - Wikipedia

    en.wikipedia.org/wiki/Oncology_Care_Model

    The payment model went into operation in July 2016, and barring changes to the Affordable Care Act, is slated to run until 2021. [7] [8] Over this five-year period, it is estimated that the model will be used for $6 billion spent on medical care to 155,000 patients. [9] The program is a move by the CMS to shift its focus to include specialized ...

  4. Centers for Medicare & Medicaid Services - Wikipedia

    en.wikipedia.org/wiki/Centers_for_Medicare...

    Since then, HEW, has been reorganized as the Department of Health and Human Services (HHS) in 1980. This consequently brought Medicare and Medicaid under the jurisdiction of the HHS. [8] In March 1977, the Health Care Financing Administration (HCFA) was established under HEW. [9] HCFA became responsible for the coordination of Medicare and ...

  5. Transitional care - Wikipedia

    en.wikipedia.org/wiki/Transitional_care

    Transitional care refers to the coordination and continuity of health care during a movement from one healthcare setting to either another or to home, called care transition, between health care practitioners and settings as their condition and care needs change during the course of a chronic or acute illness. Older adults who suffer from a ...

  6. End Stage Renal Disease Program - Wikipedia

    en.wikipedia.org/wiki/End_Stage_Renal_Disease...

    MSP provides for a coordination of benefits period between Medicare and private health insurance plans for individuals entitled to Medicare solely on the basis of ESRD. If an individual is entitled to Medicare because of ESRD and is covered by an Employer Group Health Plan (EGHP), the EGHP is the first payer (primary) for the first thirty months.

  7. Medicare (United States) - Wikipedia

    en.wikipedia.org/wiki/Medicare_(United_States)

    Lyndon B. Johnson signing the Medicare amendment (July 30, 1965). Former president Harry S. Truman (seated) and his wife, Bess, are on the far right.. Originally, the name "Medicare" in the United States referred to a program providing medical care for families of people serving in the military as part of the Dependents' Medical Care Act, which was passed in 1956. [6]

  8. Clinical Care Classification System - Wikipedia

    en.wikipedia.org/wiki/Clinical_Care...

    Facilitates the electronic documentation of patient care at the point of care. Uses a framework of care components to classify the two CCC System terminologies and represent 4 healthcare patterns focusing on a holistic approach to patient care. Consists of flexible, adaptable, and expandable concepts/data elements.

  9. Coordinated care organization - Wikipedia

    en.wikipedia.org/wiki/Coordinated_care_organization

    The Affordable Care Act (ACA) makes no provision for CCOs, there is no structured framework for them, are state developed, they might function as either a single organization or a network of providers, consumers do play a role in the governance of the organization, have a global budget with shared savings if certain quality measures are met, [4 ...

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