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Redesigning Care Across the Continuum

As our patients move between their homes and various clinical care settings, we seek to guide them smoothly through these transitions, which can often be confusing, especially for older patients and those with complex illnesses.

We are also working to ensure that critical clinical details are communicated from one setting to the next and that our patients have clear and achievable care goals.

The Integrated Care Management Program (iCMP), Bundles, Transitions from Acute to Post Acute Care, and Medicaid ACO are programs we currently manage that provide our patients with clinical support. To learn more about each of these programs please visit the links under Redesigning Care Across the Continuum located on the left navigation tool bar.

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