Multichronic Care Management
Multichronic Care Management is a personalized integrated approach to care management for members with multiple chronic conditions exacerbated by psychological and social factors. These members typically make up 5% of your population but drive up to 50% of costs. They are the “missed members” who do not respond to nor engage with traditional case management or disease management programs, and they also represent the greatest opportunity to impact your plan.
With the power of actionable big data and robust analytical capabilities, we identify high-risk members who would otherwise be overlooked. These members have modifiable chronic conditions impacted by such psychosocial factors as depression, anxiety, inadequate housing and substance use. Left unaddressed, these factors become barriers to compliance and appropriate utilization, impacting not only member health, but also your plan’s performance. By precisely targeting these members, we can manage them more effectively.
Engaging these members requires a highly personalized approach that takes into account physical, psychological and social drivers influencing outcomes. Multichronic Care Management does just that, with licensed personal clinicians trained in Dynamic Somato-Social Theory performing therapeutic interventions to help members identify and overcome barriers. Providing care coordination, motivation, education and support, clinicians empower members to achieve better self-management, leading to healthier, long-lasting outcomes.
Results are meaningful and measurable for both members and health plans. Members improve their quality of life while health plans experience greater quality, compliance and financial gains. Multichronic Care Management has been shown to:
- Yield an average 18% decrease in inpatient admissions*
- Deliver an average 15% decrease in ER visits*
- Positively impact HEDIS measures
- Improve member satisfaction and Star ratings, as well as lift HCCs
Contact us today to learn more about how Multichronic Care Management can benefit your health plan and its members.
*Results may vary by client and population. Based on engaged population.