The Affordable Care Act, Medicare Spending, and the Case ManagerPowell, Suzanne K. RN, MBA, CCM, CPHQProfessional Case Management: July/August 2013 - Volume 18 - Issue 4 - p 163–165 doi: 10.1097/NCM.0b013e318295057a Departments: Editorial Buy Abstract Author InformationAuthors Article MetricsMetrics At first blush, it looks like there is welcome relief from the upward growth of Medicare spending. It is important for the case manager to look at the big picture, as there are other reasons for this downward trend, including recovery audit contractor “take backs” and cost shifting to hospitals and Medicare beneficiaries. Professional Case Management: The Leader in Evidenced-Based Practice wishes all of you a well-earned National Case Management Week. The editor reports no conflicts of interest. © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins.