What is Care Management?

Care management can be both a set of processes and associated goals for those outcomes shared by many members on a health care team, as well as a role for one person called a care manager. First, what is care management?

Beginning broadly with care management as a process, one formal definition of care management is that it is a “team-based, patient-centered approach designed to assist patients and their support systems in managing medical conditions more effectively.” It also encompasses those care coordination activities needed to help manage chronic illness.

Another formal definition of care management is that it is “a set of activities designed to assist patients and their support systems in managing medical conditions more effectively. The goals of care management are to improve patients’ functional health status, enhance coordination of care, eliminate duplication of services, reduce the need for expensive medical services,
and increase patient engagement in self-care.”

Last, care management has also been described as “Programs [that] apply systems, science, incentives, and information to improve medical practice and assist consumers and their support system to become engaged in a collaborative process designed to manage medical/social/mental health conditions more effectively. The goal of care management is to achieve an optimal level of wellness and improve coordination of care while providing cost effective, non-duplicative services.”

By Complete Care Management, Inc.