Related Experiment Video
Updated: Aug 30, 2026

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform
Published on: April 12, 2021
Managing costly Medicare patients in the hospital
1Sixty-Plus Older Adult Services, Piedmont Hospital, Atlanta, Georgia, USA.
Abstract:
Cost-effective strategies must be developed to address the rapidly rising number of hospitalized older adults. Medicare cost outliers represent substantial unrecovered cost to hospitals caused by limited reimbursement based on diagnosis-related groups. A predictive model is used to identify potential cost outliers during admission, and a registered nurse inpatient case manager with geriatric expertise is the intervention to tailor the care to the unique needs of older adults. Community follow up is provided by social workers to complete the continuum. Positive outcomes from this project suggest that nursing can identify and successfully intervene with high-cost Medicare patients.
Related Concept Videos
Methods of Documentation VI: Case Management Model
For example, a patient with a chronic illness...
Methods Of Healthcare Delivery System
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Introduction To Health Care Delivery System
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
Issues And Trends In Healthcare Delivery System
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Hospitals-II
Nurses that work in hospitals have...
Documentation in Long-Term and Home Healthcare Setting
Long-Term Care Facilities