When catastrophic conditions aren’t treated as their own vertical, plans risk applying standard care or general case management models that lack the depth, coordination, and domain expertise required.

Social needs case management programs can be effective in reducing hospital readmissions for older patients, but cost and lack of participation in these programs hinder their success, new research ...

An integrated county health system that spent more than $22 million on a social needs case management program for its adult Medicaid patients was rewarded with significant reductions in hospital ...

This systematic review found that studies of case management interventions have adequate quality and, in many cases, show cost-effective or even cost-saving results. Results: A total of 29 studies ...

Objectives: Case management is commonly used by health plans to attempt to improve the care received by their members who have complex needs, such as those who undergo transplantation. There are few ...