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Health Care Management Strategies

What techniques (or programs) do managers use to improve individual and population health status and outcomes, and decrease overall costs?

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Care Management

How can a manager improve individual and population health and reduce the need for expensive, duplicative services?

Policy Definition: Care management programs apply systems, science, incentives, and information to improve medical practice and assist consumers and their support system to become engaged in a collaborative process designed to manage medical/social/mental health conditions more effectively. source

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Disease Management

How can managers utilize structured treatment plans to help individuals better manage their chronic disease, maintain and improve quality of life, and reduce hospital costs?

Policy Definition: Disease management is a system of coordinated health care interventions and communications for populations with conditions in which patient self-care efforts are significant. source

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Utilization Management

How do payers manage the use of health care services?

Policy Definition: Utilization management is a set of techniques used by or on behalf of purchasers of health care benefits to manage health care costs by influencing patient care decision-making through case-by-case assessments of the appropriateness of care prior to its provision. source

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