Care management is an all-encompassing healthcare approach that provides timely and suitable care to individuals. In the past, payers did not prioritize care management; however, there has been a notable shift in this trend. Payers now recognize the potential benefits of cost reduction, member-focused approaches, and technological advances. As a result, a new healthcare paradigm has emerged, with payers acknowledging the importance of care management in improving member outcomes and reducing expenses. Consequently, payers are actively developing strategies to implement innovative care delivery models, strengthen care management strategies, and improve coordination among all healthcare stakeholders
In this report, we present valuable insights into the importance of prioritizing care management for healthcare payers. We also explore prominent trends observed in payer care management, the technologies employed by payers, key areas of emphasis, and the challenges encountered when implementing care management.
