Reduce readmissions by closing transitional gaps in care.

The article discusses the role of hospitals and clinicians as well as insurers in patient care transitions in the U.S. It cites the importance of closing traditional gaps in transition to reduce the cases of readmission. It states that care transitions sound like the sole responsibility of health care personnel because they are the one who deliver patient care. However, insurers also play an important role since a good care transition plan involves the support of those at payer organizations.