Transitional Care Management Slashes Hospital Readmissions—But Is the System Failing to Fully Utilize It?

by Dustin | Feb 20, 2025 | CMS Chronic Care Modalities

Dr. Eun Ji Kim and her team at Northwell Health’s Feinstein Institutes for Medical Research set out to determine whether Transitional Care Management (TCM) services directly reduce 30-day hospital readmission rates—or if the benefit is driven by broader provider and...

Transitional Care Management Hybrid Approach to Chronic Care Management Successfully Leads to Quality Improvement on the Western Frontier

by Chandra Donnell | Feb 8, 2024 | CMS Chronic Care Modalities, Press Release

Real-world evidence of the value of the Medicare Transitional Care Management (TCM) Program when provided as a primary care service is successfully demonstrated in the Integration of Transitional Care Management into a Chronic Care Management Program: A Quality...

CrossTx Powers Successful Quality Improvement Initiative in Peer-Reviewed Journal

by Chandra Donnell | Dec 1, 2023 | CMS Chronic Care Modalities, Health, Press Release

CrossTx was featured in the peer-reviewed journal Nursing Economics in the September-October 2023 edition in a report that advanced rural healthcare quality improvement with reduced emergency room readmissions, increased patient engagement through care coordination...

Improving Quality in Northwest Clinics Through Chronic Care Management

by Chandra Donnell | Jul 17, 2023 | CMS Chronic Care Modalities, Press Release, Uncategorized

Northwestern Clinics Embrace CrossTx’s Chronic Care Management Solution to Enhance Patient Outcomes and Care Coordination BOZEMAN, Mont., July 14, 2023 (Newswire.com) – Multiple clinics in the Northwestern United States recently demonstrated their...

Texas Health Information Exchange, C3HIE Developed Transitional Care Management Dashboard With CrossTx

by Chandra Donnell | May 1, 2023 | CMS Chronic Care Modalities, Press Release

Real-time patient discharge information automatically populates the transitions of care dashboard, transforming Medicare TCM and CCM programs. HOUSTON, April 17, 2023 (Newswire.com) – CrossTx, a leading care management cloud-based technology company serving...

Actionable Data Fortifies Health Equity in Care Coordination Programs

by Chandra Donnell | Oct 20, 2022 | CMS Chronic Care Modalities, Social Determinants of Health

Aligning dynamic patient relationships with tailored, evidenced-based assessments over a patient-directed care network inclusive of clinical and social care teams transform care coordination programs. When healthcare practices embrace measurements of preventative care...