Community-based care management: a framework for delivery of services

Area of Science:

• Healthcare Administration
• Home Healthcare Services
• Service Delivery Models

Background:

• Home healthcare agencies face evolving reimbursement landscapes.
• Formalizing care management presents a new revenue stream opportunity.
• Understanding service delivery is crucial for successful care management implementation.

Purpose of the Study:

• To analyze the strategic marketing of care management by home healthcare agencies.
• To investigate the care management process within agency structures.
• To identify and address service delivery issues arising from this formalized venture.

Main Methods:

• Exploration of care management from a process perspective.
• Analysis of service delivery challenges and operational considerations.
• Review of agency marketing strategies for formalized care management.

Main Results:

• Care management requires formalization and distinct marketing for reimbursement.
• Implementation involves specific process considerations and potential service delivery hurdles.
• Agencies must adapt operational models to support this new service entity.

Conclusions:

• Formalizing care management is essential for home healthcare agencies to achieve reimbursement.
• Strategic planning for process and service delivery is critical for success.
• This venture necessitates a structured approach to integrate care management effectively.