This Week's Challenge: Post-reform redesign of clinical care delivery and reimbursement underscore the healthcare case manager's dual roles as care coordinator and utilization manager. Case manager work locations, job focus and caseloads are evolving in response to these shifts in the healthcare landscape. We wanted to see what ROI has been generated by case management programs.
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What We Learned: HIN's Healthcare Case Management e-survey conducted in January 2012 captured the efforts and contributions of case management from 153 healthcare organizations, with a concentration on three new areas: trends in embedded case management, clinical conditions targeted by case managers and preferred case management certifications. According to survey respondents, the following ROI was generated by their case management programs:
- Don't know: 34.2 percent
Too early to tell: 26 percent
Between 3:1 and 4:1: 13.7 percent
Between 2:1 and 3:1: 12.3 percent
Less than 2:1: 6.8 percent
Higher than 4:1: 6.8 percent
Missed last week's chart? View Health Activities Most Responsive to Incentives.
Take this month's e-survey: Patient-Centered Medical Homes in 2012.
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Download new market research: 2011 Benchmarks in Registry Use for Quality Improvement.
Read related blog post: New Market Data Co-Located Case Managers Put Face on Population Health Management.
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Excerpted from 2012 Healthcare Benchmarks: Case Management, which provides actionable information from 152 healthcare organizations on the prominence, placement and responsibilities of case managers as well as case management-driven results in healthcare utilization, cost and compliance.