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Chronic Care Management for County and State Programs

As healthcare costs continue to rise, State and County governments are under increasing pressure to control spiraling Medicaid expenses while managing demands for chronic, high cost populations.  Treating those with co-morbid conditions accounts for 30 percent of the total US healthcare spend each year.  More than half is spent on Medicare and Medicaid recipients. In addition, those with co-morbid conditions have a high prevalence of behavioral health issues, increasing costs even more. To contain costs and enhance overall population wellness, state and county governments need to identify high risk candidates, build effective intervention programs, and measure and track the effectiveness of these programs.

The InfoMC Chronic Care Management technology solution allows State and County governments to easily identify, engage and measure intervention programs for high-risk populations. The solution places them into appropriate intervention programs where they can be tracked, supported and cared for in a way that reduces the overall medical cost. The technology solution also gives care managers access to critical health information including a complete view of a members clinical history across multiple chronic conditions using our robust BI & Data Analytics tool. With this information, care managers can schedule prompts for important steps in the care process, creating a true integration of care coordination and care management in order to enhance engagement for the patient.

Chronic Care Management for County and State Programs

Key Features & Benefits:
Chronic Care Management for County and State Programs

  • Stratify the population to identify those with a chronic illness who could benefit from behavioral healthcare management 
  • Identify those who are overdue for needed tests and appointments according to the Healthcare Effectiveness Data and Information Set (HEDIS) quality measures
  • Proactively engage with consumers by utilizing assessments, screening tools and applying targeted interventions  
  • Alerts help care managers respond to work in queues in priority order
  • Care managers can gather patient history, including medical, psychological and social information, in one profile
  • Information is exchanged easily between providers (physician and non-physician) via real-time, online applications
  • Mobiles apps for the iPad and smart phones make it easy for members and caregivers to access information anytime, anywhere 
  • Ability to easily integrate third party clinical criteria guidelines and outcome tools