Case management redesign in a managed care system: one company's experience.
Strategies for redesign are necessary in successful managed care organizations as the member population grows and changes. This article presents a redesign project initiated by a managed care plan located in the Southwest region of the United States, where the rural frontier blends with metropolitan cities in a culturally diverse population. The focus of this project is the redesign of the Health Services department in which case management resides.
Calhoun
Jean
J
Case Management Program, Presbyterian Health Plan, University of Phoenix, Albuquerque, NM, USA.
Casey
Paula
P
D019090:Case Management / Q000458:organization & administration*; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration*; D003710:Demography; D006801:Humans; D008329:Managed Care Programs / Q000458:organization & administration*; D017146:Models, Organizational; D009516:New Mexico; D019982:Organizational Case Studies; D009936:Organizational Innovation; D010934:Planning Techniques; D011357:Product Line Management; D015206:Southwestern United States