An exciting aspect of the care management field is the swift pace that new innovations and interventions come to the market to help manage and support individuals with a wide range of chronic conditions. One characteristic of such an evolving landscape is the use of new terms and names to describe care management programs, such as the recently coined term “population health management.”
As a result of health care reform efforts and other activities that are promoting a more integrated delivery system, it’s exciting to see how more payors, providers, and others are coming to appreciate the need to proactively manage patients through the continuum of care both at an individual and population levels.
Irrespective of what the program is called, however, it’s important to remember that the basic tenants of complex, condition management services remain the same. Key elements include using predictive modeling applications, engaging in risk assessments to assess individual health status, developing customized care treatment plans that control for each individual’s co-morbidities, using evidence-based clinical pathways, ensuring that patients and attending providers are engaged in the long term care plan, measuring the success of programs through robust outcome assessments, and so on.
MMARS has been a leading expert in the field using these core care management tools in both private and public sectors for years. In fact, MMARS developed the medical management program that became a cornerstone of one of the most successful accountable care organizations (ACOs) in the United States—even before the term ACO became fashionable.
Give MMARS a ring if you would like to talk about population health management strategies and/or the fundamentals of care management interventions. We look forward to connecting with you. Also, stay tuned to this blog as we post important updates impacting the medical management field.
Carolyn Miller, RN
MMARS Founder & President