Interactive Care Management: A Framework for Healthcare Quality and Cost-Containment Initiatives (An Emdeon White Paper)


The Fundamental Problems that can cause Population Health Strategies to Fail

The American healthcare system today is facing a multitude of problems - a number of which are attributed to failed or less than successful population health strategies. Costs are out of control, and the quality of American healthcare has been challenged when compared to several other developed countries. Approaching these problems, health plans rely on a spectrum of tools, including Prevention and Wellness, Disease Management, Case Management and Utilization Management, and more recently, accountable care organizations, patient-centered medical homes, and pay-for-performance initiatives. These initiatives attempt to reduce short-term and long-term costs while improving the healthcare delivery process and outcomes. Each of these strategies relies on healthcare stakeholders, such as doctors and health plans, exchanging and analyzing information that prompts different actions by physicians and patients. Furthermore, the effectiveness of the strategies is often subject to meaningful adoption and utilization by healthcare providers and the openness of patients to participation and behavior change. Although each of these programs can work in tandem to improve quality and tackle cost challenges, total population health strategies often fail to be as effective as they could be in part because they are not tied together in a new conceptual framework called Interactive Care Management.

To learn more about Interactive Care Management, read the rest of the Emdeon white paper at: http://www.emdeon.com/resourcepdfs/Moving_Forward_with_Reform_WhitePaper.pdf


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