Transitional Care: Delivering Better Outcomes for Medically Complex Patients

It’s been called the “boomerang effect”—patients discharged from the hospital who bounce right back for readmission. Almost 20 percent of discharged Medicare patients are readmitted within 30 days at an annual cost of $15 billion to $20 billion. Often the cause of readmission is patients being discharged before they’re ready or transitioning to an environment, such as the home, where …

Skilled Nursing Patients Benefit from Proactive Engagement Strategies

With the shift to value-based care and improved cost efficiencies, there has been a decrease in the utilization of skilled nursing services. Stonegate Senior Living is embracing this change in care delivery and offering programs aimed at differentiating itself from local competition. For the last three years, Stonegate has partnered with Dallas-based Care Navigation Services to develop and operationalize proactive …