Clinical Management Services definition
Clinical Management Services means the use of best practice recommendations (such as the Bree Collaborative recommendations) in the provision of Clinical Management to support optimal health outcomes, in collaboration with the HCA’s clinical team; proactive identification and management of Members who are at risk for health service utilization; provision of patient decision aids to support appropriate patient self-management; collaboration and integration with providers and delivery systems; reduction of unnecessary variation in clinical practice; and lower healthcare costs.