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  1. Kowinsky, Amy RD, LDN
  2. Greenhouse, Pamela K. MBA
  3. Zombek, Victoria L. BSN, RN
  4. Rader, Sandra L. DNP, RN
  5. Reidy, Margaret E. MD


In many hospitals, addressing increasing financial and regulatory requirements has resulted in a decline in care managers' time spent communicating directly with patients, families, and healthcare providers. The authors discuss the redesign of a hospital care management model that increased the time care managers spend with patients, families, and other care professionals, while patient satisfaction increased, labor cost remained neutral, length of stay decreased, and the payment denial rate remained among the country's lowest.