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Today’s healthcare system moves quickly and can be fragmented, making it more important than ever to ensure patients receive coordinated care after leaving the hospital or a skilled nursing facility. When several specialists are involved, there’s a higher risk of miscommunication, repeated treatments, and missed follow-up appointments. These issues can disrupt care and slow recovery. Transitional Care Management (TCM) services help address these risks. TCM provides structured support after discharge to lower readmissions, improve care

Centers for Medicare & Medicaid Services (CMS) Interoperability and Prior Authorization Final Rule, effective January 1, 2026, establishes new, enforceable standards for prior authorization and data sharing. It is intended to reduce administrative burden, improve transparency, and modernize data exchange across healthcare. But for many payers and providers, the reality of compliance is proving more complex than anticipated. As highlighted in a recent Healthcare Finance News article, organizations are facing significant challenges meeting the rule’s

When we talk about medication non-adherence in mental health, it’s easy to focus only on the patient—missed doses, relapse, or crisis episodes. But the reality is much bigger. Non-adherence is a system-wide issue that ripples across emergency departments (EDs), skilled nursing facilities (SNFs), hospitals, and community providers. Recent research shows that nearly half of patients with psychiatric conditions do not take their medications as prescribed (Zewdu et al., 2025). That isn’t just a personal setback,