Care management can lower the total cost of care while improving quality, which is critical under risk-based contracts. But just providing care management services isn't enough—the services must be well managed. Unfortunately, that’s not the case for most health systems.
This report highlights two organizations that have implemented successful system-wide care management: Legacy Health and MetroHealth System. We examine the design of each system’s care management program, its change management processes, and its staffing structure.
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