Hospitals traditionally have viewed a patient's discharge as the endpoint of their care responsibilities. In reality, hospital stays frequently are just one step in ongoing episodes of care. Ensuring a smooth transition from acute to post-acute and long-term care settings is critical to achieving optimal health outcomes, as well as preventing unnecessary hospital readmissions and emergency department visits.
Long-term care providers should be cautious adopters as Medicaid managed care programs grow in scope and number, according to a new report and toolkit from the American Health Care Association. Advisory documents for providers are attached as Appendix B and Appendix D to the toolkit.