A transitional care plan used by the North Carolina Medicaid program to help ensure patients were able to care for themselves at home and to keep their primary care physician informed of their hospitalization reduced the risk of hospital readmission by 20% when compared with a usual care group, according to a study in Health Affairs. Researchers said the transitional care program made the biggest difference for the sickest patients and led to one averted readmission for every three of these patients.

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