Care management programs coordinate healthcare delivery, improve patient outcomes, and optimize utilization of care. Health insurers and benefit vendors alike are implementing these programs with goals to optimize outcomes and achieve savings. Savings can be achieved through the reduction of bottom-line costs using tailored services and reducing waste, or through increased top-line revenue by capturing a more accurate representation of risk in the underlying population. The challenge lies in isolating and quantifying the savings specific to implementation of these programs. There are a variety of analyses and studies that can be utilized to demonstrate their impact. Performing these studies is critical for evaluating these programs and continuing to improve healthcare and outcomes.
The Importance of Care Management and Quantifying Savings
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