The Centers for Medicare & Medicaid Services (CMS) implemented transitional care management (TCM) reimbursement to support the uptake of hospital-to-home transitional care (TC) to improve outcomes and reduce readmissions for complex patients like stroke survivors. Given the high risk and unmet needs of patients with stroke and the wide variability in TC interventions, the scientific community saw an urgent need to evaluate the uptake and effectiveness of comprehensive TC.
