Julie A Micheletti

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Providers are now viewing subacute care as an opportunity to market to managed care businesses. Many existing subacute units claim they can provide quality post-acute-care hospital services for considerably less cost than traditional inpatient stays. Subacute units will have to demonstrate both cost savings and quality to be attractive to the market place.(More)
In today's managed care healthcare environment, there is a need for hospitals and physician groups alike to know the true quality and costs of healthcare services provided to patients. As the movement toward having providers accept risk via financial capitation escalates, quality improvement professionals involved in outcomes management are increasingly(More)
Case-mix-based reimbursement could provide long term care facilities with a financial incentive to accept the more acutely ill patients who are being discharged from hospitals under Medicare's prospective payment system. But a financial incentive to maintain a complex case mix could also encourse nursing homes to provide substandard care. New York's(More)
Home health care agencies are being required by federal legislation and by accrediting agencies to comply with new, stricter regulations. By providing their expertise in interpreting regulations and establishing quality assurance programs, medical record professionals can place both the agencies and themselves in a "win-win" situation.