Care Management Blog

A recent AARP bulletin story by Dr. Howard Zucker asks, "Where have all the doctors gone?"

Medicare Advantage (MA) plans are at a pivotal moment. First launched in 1997, these managed care alternatives for Medicare beneficiaries were designed to reduce costs and improve outcomes.

Health plans have extensive experience with care management, technology, and pilots. However, what’s new is leveraging all three to better collaborate with providers to enhance Chronic Condition Management, engage and activate members more deeply, and facilitate overall cost savings.

So much of a health plan’s business and operational structure revolves around risk and revenue.

The need for tighter health plan-provider partnerships has never been greater.

Quality is a foundational tenet of the US healthcare system. Performance measurement provides a standardized approach to prioritize specific clinical or operational outcomes.

There’s an expanding need for health plans to collaborate with physicians and launch large-scale Chronic Care Management (CCM) programs. As the adult population continues to age, 60% of adults and 40% of school-age children already have one or more chronic conditions.

The benefits of adopting remote patient monitoring are mounting. According to America’s Health Insurance Plans (AHIP), healthcare organizations are seeing evidence of those benefits through reductions in utilization, readmissions, and on-call visits, as well as increases in consumer satisfaction. RPM procedure claims grew by nearly 1,300% over the last three years.