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Managed care and case management: an overview.

M White¹, W J Simmons, N Bixby

¹Senior Care Network.

Discharge Planning Update

|December 9, 1992

Summary

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This article provides an overview of managed care and case management, exploring their history, current models, and future trends. It also examines key issues and implications for social work and discharge planning.

Area of Science:

Healthcare Management
Social Work Practice

Background:

Managed care has evolved significantly, influencing healthcare delivery systems.
Case management plays a crucial role within managed care frameworks.

Purpose of the Study:

To provide an overview of managed care and case management.
To discuss the characteristics, history, and future of these healthcare models.
To explore implications for social work and discharge planning.

Main Methods:

Literature review and synthesis of existing information on managed care and case management.
Analysis of current models and historical development.
Discussion of future trends and implications.

Main Results:

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Managed care encompasses various models aimed at controlling healthcare costs and improving quality.
Case management is integral to coordinating patient care and optimizing resource utilization.
The evolution of managed care includes a focus on integrated care and patient-centered approaches.

Conclusions:

Understanding managed care and case management is essential for effective healthcare delivery.
Social work and discharge planning professionals must adapt to evolving managed care strategies.
Future directions in managed care emphasize value-based outcomes and patient engagement.