Leading population health organizations understand the importance of tailoring services based on patient need to sustainably allocate resources. Is your ambulatory care management program focusing on the right areas to achieve success?

Download the blueprint to get ambulatory care management models, nine case studies of successful programs, and staffing and caseload benchmarks.

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High-risk care management

For many organizations, care management starts with developing an ambulatory high-risk care management program. After all, these patients incur the highest cost and need the most care. Key focus areas for success include consistent communication, psychosocial and care transition support, and ongoing monitoring. Read more on p. 12.

Rising-risk care management

Next, organizations expand the care management model to target resources to their rising- risk patient population. These patients do not require the intensive care management needed by high-risk patients. Instead, patient management responsibilities focus on chronic disease management and right-site support. Read more on p. 17.

Low-risk care management

To expand to system-wide care management, teams evaluate key services for low-risk patients. Low-risk patients benefit from healthy lifestyle education and preventative care utilization. Centralized outreach and standardized workflows are important to meet the needs of the sizable low-risk patient population. Read more on p. 19.

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