How Case Management Services Reduce Hospital Admissions & Improve Patient Outcomes

Patient experience and satisfaction with care are one of the most important metrics for hospitals. A hospital stay often results in unexpected and unplanned expenses, which can be extremely stressful to patients and their families. In order to reduce these expenses and improve the quality of care provided by a hospital, hospitals are increasingly turning to case management services.


Concierge Services and Coordination of Care


Case managers can help coordinate the patient's care with other providers. This includes coordinating appointments, transportation to and from appointments, and medication refills. Case managers can also help coordinate care with family members by making sure that everyone is on the same page about the patient's daily needs, as well as their long-term goals/wishes. If there are any concerns that need addressing immediately, case managers will often be able to address them right away (or at least set up a meeting with someone who can). Furthermore, they can also assist in helping patients understand what benefits they might have through insurance companies or government programs such as Medicaid or Medicare.


Manage Medications


As a case manager, they’re responsible for helping patients manage their medications. This can include ensuring that patients have reliable access to prescription drugs, setting up automatic refills, and reminding patients when it’s time for a refill.


24/7 Access to Care Team


Case Managers are available 24/7 to help patients with their healthcare needs, including:

  • Medication management. Case managers can assist patients in getting the right medications at the right time, and they make sure that these medications are taken properly. This can help prevent hospital admissions for issues related to improper medication use, such as accidental overdose or adverse drug interactions.

  • Chronic condition management. Case managers can help patients manage chronic conditions such as diabetes or asthma by helping them stay on track with their treatment plan and work on areas where they may be having difficulty (such as remembering to take medication before bedtime).

Hospital admissions are often an avoidable outcome of disease management. The case management services offered by a health plan can help patients manage their conditions and improve their health outcomes at home or in another setting, reducing the likelihood that they must be admitted to hospital. This can save both the patient and the health plan money as well as give patients more control over their care plans.


Here are some of the key ways case management can reduce hospital admissions and improve patient outcomes:

  • Case management services help patients access the care they need. A well-run case management program will have a strong network of providers who are willing to work with patients who have non-traditional insurance plans or don't have insurance at all. They also often help connect people with public assistance programs like Medicaid if they qualify for them, which is especially important in states that expanded their Medicaid coverage since 2014 under Obamacare.

  • Case managers can help patients maintain their health outside of hospitals by teaching them about proper nutrition and exercise routines, offering mental health counseling services or connecting people with community programs and services. This can help avoid situations where someone might not be able to afford groceries so they end up eating unhealthy foods while also struggling financially due to medical bills from an illness that could've been avoided if only there had been better access to preventative medical care services earlier on!

  • Case management services have been shown to reduce the length of stay in hospitals and improve patient satisfaction with their treatment, which leads to better outcomes overall. When you have someone working with you who understands what it’s like to live with your condition, they can provide recommendations on how best to manage your symptoms while also helping coordinate other services such as home healthcare providers or transportation arrangements if necessary.

If you or someone you know is having a hard time managing their health, it can be very difficult to find the right support. With so many types of care available, it can be overwhelming to figure out which one will work best for your needs. However, by looking at the case management services we've already discussed above (and maybe even those we haven't), you can start to get an idea of which program might work best for you and your loved ones. It's important to remember that these programs aren't just meant for people with chronic illnesses or disabilities—they're also great options if someone is recovering from an illness or injury and needs some extra help getting back on their feet again!


The key takeaway here? If someone in your life needs more help than they're getting from traditional healthcare providers alone (and sometimes even if they don't), then reaching out about this type of assistance could be beneficial not only for them but also their families too—especially since most plans offer free consultations with a nurse who works closely with clients throughout the treatment process."


If you want to learn more, check out our website at ccm@proficienthsa.com or call us at 601.863.0258 for more information




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