When the elderly and dually eligible populations transition from one healthcare
setting to another, they frequently encounter gaps in care that negatively
impact their health, unnecessarily prolong hospital stays and specialty care,
and unduly increase the burden on caregivers and family. These care gaps are
most likely to occur during transitions from primary to specialty care, from
the emergency department to the surgical floor, from hospital to home or
from in-patient to long-term care.

The Medicare population, particularly the frail elderly and those also eligible
for Medicaid, poses some unique challenges due to a high incidence of
cognitive impairment, comorbid chronic conditions and polypharmacy, in addition
to its high frequency of encounters in general. And the frail elderly
population is expected to more than double by 2023, posing a crucial need for
new care models.
Closing care transition gaps for these populations is the
focus of "Coordinating Care Transitions for the
Elderly and Dual Eligibles: Fostering Self-
Management and Reducing Readmissions
," a
report available from the Healthcare Intelligence

For more information, please visit:

Please reference this customer code when ordering:

In this special report, respected thought leaders share their unique approaches
to care transition management that positively impact cost and engage the
patient in their care decisions. You'll get insider tips from:

You'll hear how their organizations are developing new models of care coordination
for the frail elderly and dual-eligible populations, such as coaching programs
for those at high risk for hospital readmission, end-of-life coaching for pre-
hospice patients, pharmacy outreach, acute problem management and Medicare-
Medicaid alignment.

You'll learn how to

For more details or to view the complete table of contents, please visit:

Warm Regards,

Melanie Matthews
Executive Vice President
The Healthcare Intelligence Network
1913 Atlantic Avenue
Suite F4
Manasquan, NJ 08736

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