Care Management

Care management is a person-centered approach designed to assist individuals and their support systems in managing medical conditions in an effective manner.  It also encompasses care coordination activities when there are multiple providers involved in an individual’s care.

A strong care management approach ensures the integration of systems, science, incentives, and information to improve the well-being of individuals with needs that cross multiple systems (health care, behavioral health, housing, employment, etc.)

The goal of a care management system is to ensure that individuals receive the right services, at the right intensity at the right time to improve their overall health, economic and social well-being.

Additionally, care management is intended to assist consumers and their support system to become fully engaged in the management of their own care and treatment.

Individuals with more complicated physical and/or mental illnesses are at increased risk of potentially serious, even fatal, exacerbations and complications. They benefit from more intensive follow-up and care management. Evidence suggests that well-organized care management can reduce an individual’s risk of deterioration and hospitalization and results in the delivery of cost effective, non-duplicative services..

The critical components of effective care management include: