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Source: CMSA Today BY DR. HEAVEN PROVO, MBA, DNP, RN, CCM, PHNA-BC, NE-BC, LNFA, CAHIMS, FCM I wear many hats: wife, mom, bonus mom, sister, daughter, and friend…all of which take priority for me. I would like to start by acknowledging my supportive family and God’s grace for every season. Where do I begin? Is

Source: CMSA Today BY HEIDI SCARBROUGH, RN, CMSRN, CCM, NE-BC End-stage renal disease (ESRD) consistently ranks among the top 10 catastrophic stop-loss claims for reinsurance carriers. According to the most recent Sun Life report, it ranked #10, with reimbursements totaling $54.3 million in 2022 (SunLife, 2023). The report indicates that 71% of all stop-loss claims stem

Source: CMSA Today BY LISA SIMMONS-FIELDS, DNP, MSA, RN, CCM, CPHQ, FCM, AND MAUREEN PIKE, MPH, MBA, RN INTRODUCTION For the past three years, Trinity Health’s Clinically Integrated Networks (CIN), Community Health & Well-Being (CHWB) departments and the Medical Groups (THMG) have engaged in a national strategy for reducing preventable hospitalizations among Medicare Shared Savings Program (MSSP)

Source: CMSA Today BY DR. COLLEEN MORLEY-GRABOWSKI, DNP, RN, CCM, CMAC, CMCN, CMGT BC, ACM-RN, IQCI, FCM, FAACM As we continue to evolve in our role as case managers, the themes in this edition of CMSA Today touch upon some of the most profound and meaningful aspects of our practice: geriatric care, end-of-life planning, and

Source: CMSA Today BY JENNIFER GAZDA, LCSW, CMC, CDP When involved in a discussion of potential topics for this publication related to health equity, I listened and tried to find what area was not included in a means to participate. Representation for the LGBTQIA2S+ population was not readily apparent, so I decided to explore some current

Source: CMSA Today BY TIFFANY FERGUSON, LMSW, CMAC, ACM-SW In recent years, the healthcare industry has undergone a paradigm shift in recognizing the role that social determinants of health (SDoH) play in patient outcomes. These non-medical factors—including housing instability, food insecurity and transportation issues—have emerged as critical elements influencing overall health, particularly among vulnerable populations. The

Source: CMSA Today BY DR. COLLEEN MORLEY-GRABOWSKI, DNP, RN, CCM, CMAC, CMCN, ACM-RN, FCM The healthcare industry has undergone a massive transformation over the past few decades, driven largely by technological advancements. From electronic health records (EHRs) to telemedicine, technology has revolutionized the way healthcare is delivered and managed. However, as healthcare becomes increasingly digitized, concerns

Source: CMSA Today BY DR. RAINE ARNDT-COUCH, DSW, JD, LCSW, CCM Health equity is a fundamental goal in healthcare, aiming to ensure that everyone has a fair and just opportunity to be as healthy as possible. Community health workers (CHWs) play a crucial role in achieving this goal, by leveraging their unique skills and lived experience