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Case management in managed care: past, present, and future.

R S Howe1

  • 1Access Health Group, Broomfield, Col., USA.

The Case Manager
|November 30, 2000
PubMed
Summary

Case management (CM) is rapidly evolving. This article explores future trends in CM by examining patient, provider, and payer perspectives to stimulate new program approaches.

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Area of Science:

  • Healthcare Management
  • Health Services Research
  • Patient Care Coordination

Background:

  • Case management (CM) has experienced significant transformation over the last two decades.
  • The field of CM continues to evolve at an accelerated pace.
  • Understanding the driving forces behind these changes is crucial for future planning.

Purpose of the Study:

  • To analyze the key factors shaping the future of case management.
  • To present a provocative outlook on upcoming CM program developments.
  • To stimulate innovative thinking and alternative strategies for CM.

Main Methods:

  • Analysis of trends from patient, provider, and payer viewpoints.
  • Synthesis of perspectives to identify future drivers.
  • Qualitative assessment of the current and future landscape of CM.

Main Results:

  • The future of CM will be shaped by a dynamic interplay between patients, providers, and payers.
  • Anticipated changes necessitate a re-evaluation of existing CM models.
  • Emerging factors suggest a move towards more integrated and patient-centered care coordination.

Conclusions:

  • The healthcare industry's core stakeholders (patients, providers, payers) are pivotal in defining the future of case management.
  • Proactive adaptation and innovative approaches are essential for effective CM programs.
  • Further discourse and research are needed to navigate the evolving landscape of health care case management.

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