Care management is a promising team-based, patient-centered approach “designed to assist patients and their support systems in managing medical conditions more effectively.” 3. It also encompasses those care coordination activities needed to help manage chronic illness.
In order to achieve the triple aim, health care delivery systems throughout the country are working to effectively treat patient populations, while at the same time decreasing health risks and health care costs. Care management has emerged as a primary means of managing the health of a defined population. Unlike case management, which tends to be disease-centric and administered by health plans,2 CM is organized around the precept that appropriate interventions for individuals within a given population will reduce health risks and decrease the cost of care.
A high percentage of annual medical expenditures come from patients with complex health care needs.
Care management in healthcare is intended to improve the patient's care as well as reduce the need for extensive medical services.
On the other hand, nurses in care management are availalble by phone to assist patients with the clinical terms in outpatient settings rather than inpatient.
A care management nurse will be responsible for ensuring that you/r family members primary physician is aware of/involved in the case.