Bedford, MA (PRWEB) October 29, 2015
Casenet®, LLC, a leading provider of extensible care management solutions, today released a whitepaper showing significant return on investment for health plans using integrated care management systems, including lower costs and better health outcomes. Today’s release, the second in a series of whitepapers focused on the use of technology to support improved care coordination, is called “Making Care Management Count – Finding the Return on Investment in Care Management Systems” and outlines many of the cost drivers that care management can address. The study also measures the cost savings from integrated care management programs, demonstrates the successful use of care management programs and technology and reveals how the Casenet care management platform drives savings through improved efficiency and healthier members. To request the whitepaper, click here.
“Casenet continues to help our clients improve care coordination and deliver on improved care quality. Our TruCare® platform enables integrated care teams access to the right information at the right time to best manage the health of their members. Measuring the return on investment of care management programs and technology both from an outcomes and a financial perspective showed such dramatic results that we felt we should share our approach so that other organizations can benefit,” said Peter Masanotti, CEO, Casenet.
The Casenet whitepaper shows that integrated care management models ensure that gaps in care are closed, care transitions are improved and members receive the recommended care. These are all factors that have been shown to improve outcomes while reducing costs. The savings incurred as a result of utilizing a care management program and supporting care management platform can be attributed to the following categories:
- Medical Cost – savings attributed to earlier intervention and medical cost avoidance, such as a reduction in the number of medically unnecessary procedures or a reduction in hospital admissions/readmissions
- Administrative Cost or Operational Efficiency – savings attributed to workflow automation and reduction in errors and rework; resulting in increased care management team caseloads and reallocation of staff
- Quality Improvement/Compliance – savings attributed to improved outcomes, reduction in penalties for out-of-compliance care programs, and increased payments attributed to in-compliance care or improvements in quality
- Utilization Management – savings attributed to automation of the authorization process which results in a reduction in authorization errors and the number of claims exceptions and overpayments, increased efficiency, and the ability to manage a higher number of authorizations with fewer staff
Another recognized benefit of the integrated care management model is the use of a technology platform to manage and ensure the consistent application of preventative services and early intervention across the member population. “Making Care Management Count” also shows that with chronic conditions growing, integrated care management improves outcomes by improving care transitions, disease management and reduces both readmissions and gaps in care.
In 2010, over half of all Americans had at least one chronic condition and almost one third of all Americans had multiple chronic conditions. Since the CDC confirmed that clinical preventive services can help lower health risks and the costs of treating chronic disease, as well as prevent or delay the onset of disease1, many new models of care, including integrated care management, were developed to help increase the number of Americans who are healthy at every stage of life. When care programs fall short and preventative services are forgone, an untold number of medical conditions go unnoticed, untreated and then worsen, driving up costs for the patient and the healthcare system. These stark statistics highlight the troubling failure of care coordination processes today, which is only exacerbated by the surge of chronic conditions present in America.
Care management combined with utilization and disease management can drive similar savings back into an organization when coupled with highly interactive health IT, such as care management platform integration. The unique workflows, member segmentation capabilities and automation within a care management platform enable organizations to increase efficiencies while better and more tightly coordinating care and driving the preventative care that members need.
To learn more about the cost drivers and measuring the cost savings of care management programs and technology, request the whitepaper, “Making Care Management Count – Finding the Return on Investment in Care Management Systems” written by Kelli Bravo, vice president, product marketing at Casenet. For more information, contact us at info(at)casenetllc(dot)com or http://www.casenetllc.com.
About Casenet, LLC
Casenet provides a comprehensive suite of extensible, enterprise care management software and services solutions for commercial, Medicaid, Medicare, TPA, provider/ACO and carve out organizations. These solutions enable our customers to improve care coordination and the quality and delivery of care through enhanced case, disease, utilization and home and community-based services management as well as tools for total population management. Casenet supports small to very large enterprise customers that require tremendous scalability, have many lines of business with benefits that are complex and complicated to administer, and require comprehensive configuration for each targeted member population. These solutions enable organizations to meet their unique requirements and adapt quickly to changing market and regulatory dynamics, identify and target populations having unique risk characteristics and deliver specific care management programs for those members — taking the first step toward better individual health and total population health management. For more information, visit http://www.casenetllc.com.
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1Benson WF and Aldrich N, CDC Focuses on Need for Older Adults to Receive Clinical Preventive Services, Critical Issue Brief, Centers for Disease Control and Prevention, 2012, http://www.chronicdisease.org/nacdd-initiatives/healthy-aging/meeting-records.