Principles and evaluation of care management interventions

clock • 9 min read

Is it now time for the health insurers to be the 'care management' experts? Joanne Buckle and Neha Taneja of Milliman explore this.

As insurers try to move their brand positioning from financial risk managers to partners in healthcare with customers, care management can help improve retention and generate claims cost savings. However, there are multiple barriers to achieving these goals, including limited application of system knowledge to design effective care management interventions. The key to a successful care management intervention is to work together with all the stakeholders to design a programme that provides evidence-based quality care with visible performance indicators. We illustrate the importance...

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