Care Transitions Today Podcast

Case Conversations: Collaboration and Communication in Challenging Patient Care

This episode is co-presented by the Association of Physician Leadership in Care Management and the American Case Management Association. In this episode, we are joined by three physicians, Dr. Rebecca Severe, a Hospital Medicine-certified physician serving as Medical Director of Care Management for Advocate Aurora Health, Dr. Sweta Singh, Medical Director of Care Management at the University of Michigan Medical School, and Dr. Teresa Jacobs, Clinical Professor of Neurology at the University of Michigan Medical School.

In this conversation, the physicians discuss two complex medical cases involving a tonsillar carcinoma patient and a refractory epilepsy patient. They explore the challenges of medical necessity determinations, the importance of thorough documentation, and the peer-to-peer process with insurance payers. The conversation highlights the intricacies of patient care transitions and the need for effective communication among healthcare providers to ensure optimal patient outcomes.