According to research published in the journal Primary Health Care Research & Development, there is strong evidence that care management benefits patients and providers by:

Physician practices, payors, and health system leaders rely on key performance indicators (KPIs) to achieve their clinical, financial, and operational goals.

Health behavior change is challenging for most individuals and can be particularly difficult for patients living with chronic health conditions or physical, mental, or social risk barriers. Care management programs and clinical teams can provide personalized and powerful support to facilitate the changes that patients seek.

The Centers for Medicare & Medicaid Services (CMS) reimburses for an optional assessment of social determinants of health (SDOH). When the evaluation is conducted as part of the Medicare Annual Wellness Visit (AWV), the beneficiary will not be burdened by a cost-sharing obligation.

According to the Centers for Medicare & Medicaid Services (CMS), research shows that 5.8 million people in the US do not receive medical care each year due to transportation issues. More recent research from 2022 found that 21% of adults without a vehicle or public transportation went without needed medical care.

Studies show that nearly 75% of people will need help making medical decisions. Less than 25% have formally documented their end-of-life care wishes.

ThoroughCare's clinical team recently hosted a webinar, “The Impacts of Social Determinants of Health (SDOH) on Patient Care and Outcomes.” They were joined by Dr. Maya Bell, PharmD, MBA, Director of Clinical Services at PharmaClin.

Engaging patients has become more of a focal point for healthcare. Motivated people tend to believe in their ability to improve or maintain their quality of life.

Comprehensive care coordination provides professional support to patients, helping them navigate healthcare and manage their health better. To that end, research on SMART goals has demonstrated its value toward patients creating healthier habits and achieving better health outcomes. When combined with motivational interviewing techniques, SMART goals establish clear, internally-motivating, and measurable goals that align with what’s most important to each individual.

As a nurse or clinician, creating and updating a care plan is crucial to effectively coordinating patient services and interventions, and overseeing medication management.