The Importance of Tailored Care Management Programs for High-risk Patients

On this episode of Managed Care Cast, we speak with 2 authors of an article in the September issue of The American Journal of Managed Care®, which focused on the results of their evaluation of an intensive, community-based care management program for dual-eligible Medicaid ACO high-risk patients.

Teams from the Mass General Brigham health system and the Commonwealth Care Alliance, both in Massachusetts, have collaborated on a value-based care initiative with the principal goals of improving patient clinical outcomes, reducing unnecessary health care utilization, and making care more accessible.

On this episode of Managed Care Cast, we speak with Jack Rowe, MD, MPH, and Lori Tishler, MD, MPH, 2 authors of “Intensive Care Management of a Complex Medicaid Population: A Randomized Evaluation,” published in the September issue of The American Journal of Managed Care®. Their findings on the effectiveness of the iCMP PLUS (Patients Linked to Urgent Support) program show that reaching high-risk patients in their communities with tailored interventions can reduce unnecessary medical expenses and health care utilization, as well as the value of partnerships between academic medical centers and community-based primary care.

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