Care Management Transformation and the Path Forward
How can health plans best transform care management strategies to meet the changing operational and cost management requirements set forth by the Affordable Care Act (ACA)?
The ACA has necessitated a shift from traditional care management programs focusing on utilization, case and disease management to addressing broader population health management, provider-driven care management, and more. A one-size-fits-all approach is not possible, so where do health plans begin?
EXL's complimentary white paper discusses:
- How to best address Star ratings, HCC and Risk Adjustment Factors
- How to effectively manage processing costs and reduce high trend rates
- How to identify and act upon opportunities in payment integrity
Overhauling health plans in the new reform environment can seem daunting, but there are many ways to address these changes. Learn where to start with your health plan. Get your copy of Care Management Transformation today.