CARE MANAGEMENT: A BASIC STRATEGY FOR POPULATION HEALTH MANAGEMENT Care management is a complete package of programs and services that assist individuals with chronic or complicated health problems in managing their conditions. The ultimate purpose of care management is to promote patient health. To achieve the aim of value-based care, healthcare organizations need a Care Management Platform that can help them manage the numerous operational tasks that take place across many health settings. Understanding, monitoring and managing the health and wellbeing of the population is critical to meeting the triple aim target. Chronic Care Management has been recognized as an effective, practice-based approach for managing the health of people at risk of developing certain diseases and those who already have chronic conditions.
There are three main ways to improve current or future people’s Chronic Care Management initiatives:
I.
A system is required to determine the segment(s) of population having manageable risks.
II.
A systematic solution that can align care management services as per the population's requirements.
III.
An advanced Care Management Solution is needed to select, train, and integrate appropriate employees to provide the required care services.
Provision for Care Management CMS and private payors are both actually starting to fund the provision of care management services, either directly or through paying for the procedures and results associated with successful Chronic Care Management Solution. The CMS comprehensive Primary Care initiative now incorporates risk-stratified techniques to care management as one of five comprehensive primary care services aimed to meet the triple aim. Furthermore, the Patient-Centered Primary Care Collaborative regards the care management characteristics such as population management and risk stratification to be critical features of the healthcare settings and vital throughout the healthcare ecosystem. Considerations for Care Management Utilize a variety of indicators to classify patients who have manageable risks. Create risk-based techniques to identify patients who require the utmost care management services. Customize the care management services with patient involvement to address the individual requirements of groups with varying manageable risks. Utilize Electronic Medical Records to improve care coordination, communication with individuals, and outreach to them. Evaluate who should be offered care management assistance based on the requirements of the population and the practice situation. Determine the necessary expertise, training, and licensing criteria. Adopt interprofessional team-based care techniques. The Care Management Platform is designed to improve specific care coordination among providers, care workers, and patients, while the Care Management Solutions can assist in strengthening the patientprovider relationship and expanding that connection to the care team.