New model integrates DM and CM to boost care for high-risk patients.
It may seem like an obvious call to provide extensive DM and case management services to people who have been deemed "high-risk," but that is typically not the rule in the many "high-risk" pools that states have set up for people who have been denied commercial insurance elsewhere. However, in an unprecedented move, the non-profit insurer for the high-risk pool in Colorado is betting that an integrated system of DM and CM services will slash utilization while boosting health status. It's an innovative model that could well be replicated if all goes as planned.
D019090:Case Management; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D019468:Disease Management; D017598:Efficiency, Organizational; D020408:Health Insurance Portability and Accountability Act; D006801:Humans; D019458:Insurance Coverage; D008498:Medical Record Linkage; D017146:Models, Organizational; D012307:Risk Factors; D012648:Self Care; D012984:Software; D014481:United States