Managing all aspects of care—including behavioral and social determinants that impact care in addition to physical health—is critical to improving quality, care, and cost outcomes, particularly for more at-risk, vulnerable populations. Effective, efficient care management not only increases the accessibility and timeliness of care, but also improves member experience and reduces hospitalizations.
Medicare Advantage plans can achieve these benefits by using the right tools to identify and assess populations, deliver person-centered care, and ensure quality and compliance. Ideal care management tools should:
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