According to AMR’s prediction, Medical Case Management (MCM) is a process that involves the coordination and management of healthcare services for patients with complex medical conditions or those who require multiple healthcare providers. MCM aims to improve patient outcomes, reduce healthcare costs, and promote efficient use of healthcare resources. Medical case management is done for medical evaluation on how the patient is improving or how is the procedure helpful for the patient.
♦ 𝐃𝐨𝐰𝐧𝐥𝐨𝐚𝐝 𝐅𝐫𝐞𝐞 𝐏𝐃𝐅 𝐁𝐫𝐨𝐜𝐡𝐮𝐫𝐞:
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MCM typically involves a healthcare professional, such as a nurse or social worker, who acts as a case manager to coordinate care for the patient. The case manager works with the patient, healthcare providers, and other stakeholders to develop a care plan that addresses the patient’s medical, social, and emotional needs. The MCM process usually begins with an assessment of the patient’s medical and social needs. This assessment may include a review of medical records, a physical examination, and interviews with the patient and their family members. Based on the assessment, the case manager develops a care plan that includes specific goals and interventions to address the patient’s needs.
The case manager then coordinates the implementation of the care plan, which may involve scheduling appointments with healthcare providers, arranging for diagnostic tests or procedures, coordinating home health services, and providing education and support to the patient and their family members.
Throughout the MCM process, the case manager monitors the patient’s progress and adjusts the care plan as needed. The case manager also communicates with the patient and healthcare providers to ensure that everyone is aware of the patient’s needs, goals, and progress.
♦ 𝐅𝐨𝐫 𝐏𝐮𝐫𝐜𝐡𝐚𝐬𝐞 𝐈𝐧𝐪𝐮𝐢𝐫𝐲 𝐨𝐟 𝐑𝐞𝐩𝐨𝐫𝐭:
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In summary, Medical Case Management is a patient-centered process that involves the coordination and management of healthcare services for patients with complex medical conditions or those who require multiple healthcare providers. The process aims to improve patient outcomes, reduce healthcare costs, and promote efficient use of healthcare resources by developing and implementing a personalized care plan that addresses the patient’s medical, social, and emotional needs.
Key Market Players –
Major key players that operate in the industry are Genex Services, LLC.,, Global Excel Management, Inc., Prime Health Services,, ALL.,, GMMI, Inc.,, Medical Case Management Group., Eagleone Case Management., EK Health Service Inc, Axiom Medical Consulting, LLC., Comp Alliance., Sierra Nevada Administrators.,, Managed Medical Review Organization (MMRO,Inc), Europ Assistance-Global Corporate Solution.
By Region –
North America (U.S., Canada, Mexico)
Europe (Germany, France, U.K., Italy, Spain, Rest of Europe)
LAMEA (Brazil, Saudi Arabia, South Africa, Rest of LAMEA)
Asia-Pacific (Japan, China, Australia, India, South Korea, Rest of Asia-Pacific)
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Frequently Asked Questions?
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