Case Management Program definition
Case Management Program means a program that assesses the Member’s medical needs and includes working with PARTICIPATING MEDICAL GROUP and other Participating Providers to explore and coordinate treatment alternatives that may (1) be more cost effective; (2) result in better medical outcomes; (3) achieve benefit savings; and (4) increase Member satisfaction.
Case Management Program means a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual’s and family’s comprehensive health needs through communication and available resources to promote quality, cost-effective outcomes. Case management programs include care management or disease management programs.
Case Management Program means a collaborative process
More Definitions of Case Management Program
Case Management Program means the specific supervision and management of the medical care provided or prescribed for a specific individ- ual, which may include the use of health care providers designated by the carrier.