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Case management focuses on delivering personalized services to patients to improve their care, and involves four steps: Referral of new patients (perhaps from another service if the client has relocated to a new area out of previous jurisdiction, or if client no longer meets the target of previous service, such as requiring a greater level of ...
Intensive case management may very slightly reduce the chance of suicide but there the difference between people given intensive case management and those receiving standard care for severe mental illness was not clear. These findings are based on data of low quality. RR 0.68 (0.31 to 1.51) Low Global state Leaving the study early
Medical case management is a collaborative process that facilitates recommended treatment plans to assure the appropriate medical care is provided to disabled, ill or injured individuals. It is a role frequently overseen by patient advocates .
The case management restrictions must be "cost effective". [2] In their earliest forms, PCCM programs closely resembled traditional fee-for-service Medicaid than managed care. Some states developed PCCM as a first step towards risk-based managed care and considered their MCO contracts as the main managed care system.
Assertive community treatment (ACT) is an intensive and highly integrated approach for community mental health service delivery. [1] ACT teams serve individuals who have been diagnosed with serious and persistent forms of mental illness, predominantly but not exclusively the schizophrenia spectrum disorders.
In Advanced Case Management: New Strategies for the Nineties, Norma Radol Raiff describes the history of case management in social work.She views case management in social work as "an intervention with roots in the professional's value base, including its hallowed principle of respect for the individual, client self-determination, and equal access to resources."
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Utilization management is "a set of techniques used by or on behalf of purchasers of health care benefits to manage health care costs by influencing patient care decision-making through case-by-case assessments of the appropriateness of care prior to its provision," as defined by the Institute of Medicine [1] Committee on Utilization Management by Third Parties (1989; IOM is now the National ...