Next-generation Care Management: The Importance of Data Collection and Member Engagement

Pam Brooks Pam Brooks
Senior Director, Care Management Applications

What if you could build care plans for your members that were tailored to the whole person, instead of just a specific clinical condition or two?

What if you could get members more engaged in their overall health by asking them fewer — but more targeted — questions that resonate with their personal situations?

What if your care managers could spend more time helping members most in need, such as those with escalating risk for a cardiac event or those who aren’t taking their diabetes medication? And what if, at the same time, you could:

  • Reduce the work it takes to adjust care plans as members’ needs change in real-time time.
  • Allow care managers greater care setting flexibility through in-field, untethered mobile functionality
  • Control the cost of chronic disease treatment and avoidable readmissions with evidence-based care planning.

These kinds of “what if” care management scenarios are possible. Getting there efficiently, however, takes advanced data collection and analytics that combine clinical best practices with each member’s holistic health data.

Next-generation care management can enable quality improvements built on personalized care plans by connecting multiple sources of data — including member-provided data and social determinants of health — so that health plans can collect information through targeted assessments to drive members to the right providers that help them feel their needs have been met.

Ideally, such dynamic care management should give care managers better visualization and the power to create evidence-based care plans that prioritize interventions. Next generation care management should save care managers valuable time and even reduce the number of questions needed to ask members by drawing on evidence-based data sources and adjusting in real time.

In other words, next generation care management should provide care managers with the insight they need to drive person-centered care, while improving the member experience. That’s a great way to improve member engagement and satisfaction.

With the right data collection and engagement tools, care managers can help members overcome personal barriers to optimal health. Indeed, care management tailored for the whole person is within reach. It’s one more way sophisticated analytics platforms are transforming members’ care experience.

Learn how Medecision’s Aerial Care Planner 360™ can help health plans enhance person-centric care here.

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