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The ACO Show brings you the latest in the movement that’s transforming American health care. Co-hosts Josh Israel and Sean Cavanaugh from Aledade, the largest network of independent primary care, share their conversations with experts and leaders across the health care industry - from leading policymakers and researchers to staff and practices on the front lines. Subscribe and listen to learn about how independent primary care practices are leading the movement to a value-based health care system. The ACO Show is an independent production of Aledade.
Episodes
Monday Jun 29, 2020
76. Caring for Patients After Hospital Discharge
Monday Jun 29, 2020
Monday Jun 29, 2020
Aledade’s Director of Transitions of Care, Dr. Kim Hodge, joins Josh (@DrJIsrael) to talk about Transitional Care Management (TCM) visits and the challenge of providing consistent care to patients as they move through different levels of care in a health system. She covers how to conduct an effective TCM visit and what Aledade is doing to encourage and support this work for vulnerable patient populations and how use telehealth to do this work during the time of COVID-19.