CASE MANAGEMENT PROGRAMS

Case Management Programs

Case Management Programs

Answer 1:

Designers increased the primary health-Case Management (PCCM) programs often suggest improvements will pay for itself over time by reducing unnecessary hospitalizations, ER use, and other services expensive. Studies sometimes confirm this hypothesis, although the severity of the study has changed. One obstacle to achieving savings in the fact that the most widely PCCM programs have no direct control over hospital use. In addition, compensation savings, if they occur, usually does not happen fast enough to cover the costs of improvements in the first year or two, because horizons longer than necessary. In addition, the turnover of the registration Medicaid, some of the returns of the improvements PCCM may occur after the beneficiaries have left the program. Finally, many enhancements, such as improved coordination and management of care can improve beneficiary health and welfare in ways that cannot be fully measured in strict dollar terms, as a purely financial analysis cannot cover all benefits (Bertrand, and Fransoo, 2002, 241-264).

Despite these uncertainties regarding the potential compensation savings, the state may need to make some estimates of potential savings from improvements in PCCM and costs to implement them in order to obtain a permit for the necessary up-front investments. Oklahoma, Pennsylvania, and six other states have worked with the Center for Health Care Strategies (CHCS) in 2007-2008 to develop a "return on investment" (ROI) analysis of Medicaid initiatives to improve quality, including PCCM accessories.Answer: 2

To balance this expense, it is necessary to study if shorter, some of the limitations of typical case management. First, typical cases there are limitations on the generalizability of the findings as a model or theory developed from the case, and secondly, the limit generalizability involves risks underestimating the representativeness of a single event, and of exaggerating the readily available data. These risks ...