Continuum Of Management In Healthcare

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Health care systems are constantly trying to employ the triple aim in their healthcare delivery. This includes improving patient experience, improving population health and reducing cost. Unfortunately, healthcare has taken a turn as gaps in primary and preventative care continue to grow and expenditures projected to reach 20.1% of the nation’s GDP (Keehan et. al, 2017). Care management may serve as a solution to this problem by using appropriate interventions to treat specific populations and ultimately reduce health risks and the cost of healthcare. The care management process involves identify specific patients in populations, assessing and identifying opportunities, developing and implementing a plan, monitoring and evaluating a plan and …show more content…

Health homes focus on chronic conditions and behavioral health and encourages caregivers to communication to provide comprehensive care. ACOs focus on improving quality and decreasing cost and use a Care Management Impact Model to track the program's impact on cost and utilization. Similarly, MCOs focus on individual payer’s goals alongside managing cost, utilization and quality of care. Lastly, MSOs are focused on VBP and population incentives. Now that we have a fundamental understanding of the current state of Care Management, we will take a look at the gaps in care this newly developing strategy will help to address. Effective care management across the continuum of health is dependent upon interoperability of a team and communication, throughout the process of care delivery. These two areas, interoperability and communication, are where providers and patients are most likely to see a breakdown within the continuum of health care delivery. This wastes time and money, driving quality downward. Effective care management seeks to address all of …show more content…

Care management will ensure that patients are given access to the information they need, and will empower patients to make better decisions in regards to their care. By building communication we are building trust, and ultimately increasing value. Furthermore, by more accurately identifying those populations with modifiable risks, care management will help to effectively reduce health disparities. Racial health disparities are associated with substantial annual economic losses nationally, including an estimated $35 billion in excess health care expenditures, $10 billion in illness-related lost productivity and nearly $200 billion in premature deaths (Aryanian, 2016). These dollars represent investments that can now be made in preventive care measures to better treat underserved, under-identified or high risk

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