Managed Care Medical Case Management

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Case Management - NCQA

https://www.ncqa.org/programs/health-plans/case-management-cm/

Case management is a vital part of the health care delivery system. It’s a collaborative process of assessment, planning, facilitation, care coordination, evaluation and advocacy for options and services to meet comprehensive medical, behavioral and social needs of …

Medi-Cal Managed Care - California

https://www.dhcs.ca.gov/services/Pages/Medi-CalManagedCare.aspx

Medi-Cal Managed Care contracts for health care services through established networks of organized systems of care, which emphasize primary and …

Managed Care | Medicaid

https://www.medicaid.gov/medicaid/managed-care/index.html

Medicaid managed care provides for the delivery of Medicaid health benefits and additional services through contracted arrangements between state Medicaid …

Case Management - Molina Healthcare

https://www.molinahealthcare.com/members/common/en-us/mem/marketplace/coverd/services/casemngt.aspx

Case Management programs are voluntary but a member must meet certain requirements. You can also be referred to one of the programs through: Provider referrals Self referrals …

Case Management - StatPearls - NCBI …

https://www.ncbi.nlm.nih.gov/books/NBK562214/

Hudon et al. summarize several descriptions of case management including those from the Case …

Medical Case Management - Allied Managed Care, Inc.

https://www.alliedmanagedcare.com/services/medical-case-management/

Medical Case Management Lowering Costs Across the Life of a Claim. The simplest way to contain medical care costs for injured and ailing workers is to control spending …

Case Management | CorVel

https://www.corvel.com/services/workers-compensation/case-management

CorVel case managers lead the injured worker’s medical team and work closely with the claims adjuster to overcome care obstacles and provide personalized support. Industry …

Case management (US healthcare system) - Wikipedia

https://en.wikipedia.org/wiki/Case_management_(US_healthcare_system)

The Case Management process encompasses communication and facilitates care along a continuum through effective resource coordination. The goals of Case Management …

What a Case Manager Provides to Members

https://www.uhcprovider.com/en/health-plans-by-state/maryland-health-plans/md-comm-plan-home/md-cp-news/practice-matters-md/practice-matters-md-case-manager.html

Emergency Room Utilization Case Management Healthy First Steps Program for pregnant women; member does not have to be high risk to receive this service. Call: …

Managed care and case management: an overview

https://pubmed.ncbi.nlm.nih.gov/10124615/

This article presents a brief overview of managed care and discusses the role of case management. Characteristics of each are given along with a brief history, …

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