Good Health and 17 Reasons Why Care Management Is Probably Not Going To Be in a Clinic Near You Anytime Soon. Elvonda - Hallo friends Health Physical Therapy, In the article you read this time with the title Good Health and 17 Reasons Why Care Management Is Probably Not Going To Be in a Clinic Near You Anytime Soon. Elvonda, We have prepared this article for you to read and retrieve information therein. Hopefully the contents of postings Article Care Management, Article New England Journal of Medicine, We write this you can understand. Alright, good read.

Title : Good Health and 17 Reasons Why Care Management Is Probably Not Going To Be in a Clinic Near You Anytime Soon. Elvonda
link : Good Health and 17 Reasons Why Care Management Is Probably Not Going To Be in a Clinic Near You Anytime Soon. Elvonda

Good Health and 17 Reasons Why Care Management Is Probably Not Going To Be in a Clinic Near You Anytime Soon. Elvonda

Here's a good review of all the reasons why care management has not become a routine part of patient care. 

As policymakers, reformists, consultants and architects plan for a population and outcomes-based future, they'd be wise to think about the review's 17-point reality check.

1) Start-up costs are considerable;

2) Costly to maintain;

3) Multi-year time horizon for any return on investment;

4) Any success undercuts future traditional fee-for-service revenue;

5) Can't be broken down into discreet 'reimbursible" units for fee-for-service payments;

6) It's paid for with still-novel-experimental capitated payments and/or shared savings;

7) The link between increased quality today and downstream savings tomorrow is still tenuous;

8) Complicates primary care by introducing more uncertainty;

9) Non-physician manager training is time-consuming and costly;

10) It's a resource that is best reserved for high risk patients, not all patients;

11) Doesn't fit into long-standing clinical workflows in established clinics;

12) Primary care already has enough challenges and implementing care management is not a priority;

13) Most EHRs are not configured to document or support non-physician care;

14) Decision-makers need additional information on expected net savings;

15) It relies on a lot of outside-the-doc-comfort zone behavioral, vs. "medical" health interventions;

16) It requires considerable data support;

17) It's often balkanized by multiple payers.

But be of good cheer. Jimmy Cliff reminds us that half the battle is knowing what you're up against.

Thus Article Good Health and 17 Reasons Why Care Management Is Probably Not Going To Be in a Clinic Near You Anytime Soon. Elvonda

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