Published in:
01-12-2018 | Concise Research Reports
Variability in Care Management Programs in Medicare ACOs: A Survey of Medical Directors
Authors:
Karen Donelan, ScD, EdM, Esteban A. Barreto, MS, Carie U. Michael, SM, Peter Nordby, MA, Maureen Smith, MD, MPH, PhD, Joshua P. Metlay, MD, PhD
Published in:
Journal of General Internal Medicine
|
Issue 12/2018
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Excerpt
The quest to reduce costs and readmissions has given rise to system- and practice-level approaches to identifying and managing the care of high-cost, high-risk populations.
1 Care management programs (CMPs) have been developed in US health systems to connect nurses, social workers, and/or other staff with patients to coordinate care, reduce utilization, and lower costs, but evidence of success in cost reduction is variable.
2, 3 Early models featured registered nurses as care managers, although more recent reports show models led by social workers.
4 We aimed to develop approaches to classifying models of care management in Medicare ACOs that included staffing, CMP process, and outcomes. …
