Stronger transitions of care performance: Members attributed to CA-enabled PCPs performed better across all HEDIS Transitions of Care measures reviewed, including notification of inpatient admission, ...

Research presented at AANP 2026 details how to transition uninsured and underinsured patients with diabetes to affordable primary care services after hospital discharge.

Industry experts call care transitions the most underengineered part of medicine and urge health systems to restructure their safety nets for older patients.

Doctor talking to patient in examination room Program streamlined pediatric-to-adult transition care for the most complex patients at a single institution. For adolescents and young adults who have ...

This article presents a descriptive review of a team-based care transformation model in a large primary care network, including core staffing, process improvement, and extended care teams. Allegheny ...

A planned transition to dialysis was associated with improved outcomes and lower mortality. These findings may inform care coordination policies for end-stage renal disease. Objectives: To evaluate ...