Care-managed

Care-managed describes a healthcare system or service delivery model in which the provision of care is actively organized, coordinated, and monitored to optimize patient outcomes, control costs, and ensure efficient use of resources. It typically involves a designated care manager who facilitates communication between patients, providers, and payers, developing individualized care plans and advocating for the patient's needs. This approach emphasizes preventive care, chronic disease management, and integrated services to address the multifaceted health needs of individuals.

Care-managed meaning with examples

• Under a care-managed model, Ms. Jones's chronic diabetes is closely monitored through regular check-ins, medication adherence support, and education, which ultimately resulted in fewer hospitalizations and improved quality of life. Her care manager coordinated her appointments and liaised with specialists.
• The hospital adopted a care-managed approach for its patients, focusing on integrating physical and mental health services. Patients received comprehensive assessments and personalized plans; this significantly reduced readmission rates and fostered a holistic perspective on well-being.
• Many insurance companies offer care-managed programs to their members, allowing patients with complex health needs to have a designated person to oversee their healthcare journey. This provides support for specialist referrals and ensures a smoother healthcare experience.
• The implementation of care-managed services in the elderly population enhanced medication adherence, decreasing the chances of negative side effects. This ultimately reduced the number of falls and other adverse events associated with the patient's conditions.