Case Management

Case management plays a crucial role in the modern healthcare system, especially in the midst of the COVID-19 pandemic. Case managers guide patients through the system, determine a patient’s health situation, build relationships between providers and patients, ensure essential care is delivered, increase the quality of services provided by healthcare organizations, conduct contact tracing, and coordinate care at each level.

Basically, case management reduces fragmentation by serving as a direct line of communication between the patient and the health personnel treating them.

This type of value-based care requires a significant focus on data collection, information exchange and care coordination — all services that may put a strain on your practice’s current internal staff. HealthCare Resolution Services offers outsourced case management services for providers looking to create or maintain a value-based case management program. 

Why Outsource Case Management?

Effective case management ensures that your healthcare organization does not fall short on quality services. This focus on quality is an essential aspect of remaining competitive in the marketplace in terms of patient retention, reimbursements and value-based care. Outsourcing case management is an increasingly popular option for healthcare organizations across the country. In fact, 80% of hospitals that entrust these functions to a professional services firm report that service levels exceed their expectations.

Outsourced case management can increase efficiencies across the board and provide your healthcare organization with a number of distinct benefits, such as:

• Helping healthcare organizations achieve goals: Establishing a case management program is an intensive process in terms of labor, time and financial resources. Instead of recruiting and training the needed staff, outsourcing allows you to take advantage of an established case management team who will adopt your healthcare organization’s goals. 
• Ensuring cost-effective care: Effective case management creates savings by reducing a patient’s length of stay, preventing unnecessary treatment, properly utilizing resources and lowering hospital readmission rates. 
• Providing a clear ROI: While case management may not directly contribute to reimbursements, the services provided have a clear ROI. Outsourced, effective case management allows for timely discharge and reduced lengths of stay. Your case management team can also work with the revenue cycle team to ensure clean claims, and their services contribute to excellent ratings from patients.
• Easily measuring patient outcomes: Many readmissions could have been prevented with better care coordination. An effective case management program guides patients through their continuum of care, ensuring services are tailored to their exact needs. The outcome is a measurable increase in patient satisfaction rates. 
• Measuring quality of care: Case management serves as a vital communication resource that coordinates between providers and offers an integrated approach. This approach ultimately influences health outcomes and the quality of care provided. 

Our Mission 

At HCRS, our mission is to help healthcare organizations improve data quality, overall organizational performance, and program outcomes.

Choosing to outsource the management of your case management is a critical decision — both financially and for the overall wellbeing of your patients. With over two decades of experience, HCRS has the proven skills and industry knowledge to provide your patients with in-depth, personalized care.

Let us help you improve case management performance. Contact us today to learn more.