Care Management
An evidence-based care management program is a foundational requirement for success in the value-based marketplace. CHS experts enable health plans, health systems, IPAs, management services organizations (MSOs), third party administrators (TPAs) and care management organizations to develop, implement and operate proven care management programs.
Our clients are equipped to improve quality of care and member experience while improving care continuity and reducing total cost across the continuum of care.
Our Approach
Undertake a comprehensive gap assessment including technology, data, resource utilization, care interventions and access to provider and community-based organizations and networks
Analyze available data to identify opportunities that leverage and improve existing care management infrastructure and economies of scale to enable medical spend optimization
Leverage evidence-based population-specific program design, financial modeling, workflow redesign, role clarity and training to configure and implement proven models that maximize return on investment and hit priority targets
Provide interim management to operate and drive success in care management for all types of payers, providers and managed services companies
Thought Leadership
ACO REACH: Selecting the Right Track and Risk Profile is Not Easy
Case Study: Partnering with GLIN to Launch Best-in-Class Care Management Model
Case Study: Integrated Acuity-Based Care Model Design and Implementation for Vulnerable Populations
Case Study: Improving Safety Net Specialty Care Access Using Web-Based Platform: eConsult
