Care Management Toolkit

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  • 1/31/2019
  • Presentation: Case study - A medical home program powered by data
  • SelectHealth shares how they are incorporating pay-for-performance programs, provider engagement and chronic condition management approaches to support HCCs and quality gap in care closure. Presented at the Leveraging Analytics meeting in Fort Worth, Texas.
  • 12/10/2018
  • Templates: Medical Management Dashboards
  • Health Alliance Plan shares templates of medical management dashbaords for a variety of audeinces. Included are dashboards for Executves, Management, and the Frontline. Contains dummy data.
  • 11/9/2018
  • December 2018 Coding Work Group Case Studies
  • Geisinger Health Plan shares recently coded charts and questions to facilitate discussion on risk adjustment coding best practices during the December 6, 2018 Coding Work Group Session.
  • 10/25/2018
  • Building Payer-Provider Partnerships for Care Management
  • In this white paper, Navigant Consulting Inc. and the Health Plan Alliance share eight strategies for success in care management. Based on research among three leading provider-sponsored health plans (Health Plan Alliance members), the paper provides real-world examples of how payers and providers can collaborate successfully in developing care management strategies and reducing per member per month costs.
  • 8/9/2018
  • Presentation: Population Health and Care Management for Complex Patients
  • Adventist Health Plan shares how they used traditional population health approaches,complemented by a complex care management clinic and team of health care professionals, to manage a rural population of families, adults, and seniors and persons with disabilities (SPDs) to meet their health care and social needs in a quality, cost efficient manner.