“Care Management and coordination will become the heart and soul of an affordable and sustainable health system.”
Bedford, Massachusetts (PRWEB) February 15, 2012
Casenet, LLC, a provider of innovative health management software products, announced that it has released two industry leading strategy papers that will appeal to medical management, health services, accountable care, case / disease management, utilization management and care coordination professionals. The release of “Care Management: 2012 Market Sensing, Trends & Predictions” and “Care Management: The Reform Era Strategic Hub”, an industry brief authored by IDC and sponsored by Casenet, was released to attendees of the TruCare User Forum on February 7, 2012 as well as attendees of the ACO Summit in Austin, TX and The National Forum on the Business of Medicare Advantage conference in Washington, DC.
“We are hearing strong indications from payers, providers, health systems, industry analysts and our clients, that 2012 – 2013 will be the year that Care Management clinical support solutions will become the new center of the universe for population and member management, displacing the claims administrative system,” said Chuck Bryan, Senior Vice President of Sales and Marketing at Casenet. “As the over age 65 population continues to significantly increase, and is predicted to continue to increase and account for a large percentage of overall medical spending, we are seeing a distinct shift in care management investment priorities. Clinical system data and functions create higher value and will provide a better return on investment towards meeting the collective industry goals of healthier communities through better access to care, improved quality, collaboration and coordination of care. Care Management and coordination will become the heart and soul of an affordable and sustainable health system.”
Care management systems will compliment, not replace, claims administrative systems. Organizations that strive to improve quality, member health and contain or reduce costs for their beneficiaries with one or more chronic disease conditions will find it difficult to achieve results and compete without integrated systems that support case management, disease management, utilization management, quality reporting, home and community-based services, transportation management and engagement interfaces for members, providers, care givers and other professionals involved with care planning, services and patient adherence.
“Managed Care Organizations with high acuity duel-eligible populations (Medicare and Medicaid), State Health Homes, Pioneer Accountable Care Organizations (ACO), ACO applicants and Behavioral Health organizations’ will struggle to operate efficiently and achieve better outcomes without a flexible, adaptable and actionable enterprise-grade Care Management platform,” commented Bill Gaynor, Vice President of Business Development at Casenet. “Affordable Care Act (ACA) and CMS Shared Savings related programs are just now launching. Over the next three years, more refinement and tuning of regulations is expected as entities organize, come to life and begin to report results. Through the TruCare platform, Casenet will help health organizations to realize “critical to compliance” key measures including complex and collaborative care planning, better managing inpatient / outpatient transitions, reducing readmissions, reducing emergency room visits, improving care coordination, identifying at-risk members and preventing high risk conditions, and increasing primary care physician (PCP) utilization, patient engagement and education.”
To request a copy of “Care Management: 2012 Market Sensing, Trends & Predictions” and “Care Management: The Reform Era Strategic Hub, please visit http://www.casenetllc.com . Casenet will be hosting an upcoming series of webinars targeting care management topics such as Home and Community services, Transportation Management and dual eligible senior population management.
About Casenet, LLC - Health Management … As If You Designed It
Casenet, LLC provides a comprehensive suite of member-centered care management software and service solutions, including Case Management, Disease Management, Utilization Management, Health and Wellness, TruRemote, Total Population Management, Provider Portal, and Operational Reporting that enable organizations to align to their unique requirements and to adapt quickly to changing market and regulatory dynamics. At the heart of the system is a highly client-configurable foundation called Differential Care Management (DCM). DCM enables organizations to isolate and target populations having unique risk characteristics and to deliver specific care management programs for those members. Visit http://www.casenetllc.com.