Chronic Care Management CoP

Facing the Six Barriers to Cohort-Centric Care Management

Facing the Six Barriers to Cohort-Centric Care Management

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Realize Your Value-Based Care Vision:

Cohort-centric care management improves a person’s health by bringing the best population management, care coordination, and patient/member engagement together.

The 2004 report, “Will Care Management Improve the Value of U.S. Health Care?” defined Care Management as programs that “apply systems, science, incentives, and information to improve medical practice and help patients manage medical conditions more effectively. The goal of care management is to improve patient health status and reduce the need for expensive medical services.”

Challenge No. 1: Having Essential Insight Data Top-of-Mind During Live Interactions:

Many nurses and care managers/coordinators struggle to make the most of their live interactions with patients/members, especially if the contact is patient-driven. These communication opportunities could be optimized if care managers had salient, contextual, and timely data points handy.

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