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 Situation
Solution
Benefits
Case Study
SituationAs health plans continue to identify ways of reducing ever-increasing medical expenditures, care management has become a major focus area. Care management focuses on high-cost and high-volume conditions and injuries, and involves proactively coordinating with patients to ensure that they are following doctors’ orders, taking medications, improving their health habits, and adhering to best practices. As a result, care management has the potential to reduce medical costs by preventing costly hospitalizations, tests, and treatments. Due to a wide-spread shortage of highly qualified nursing personnel, health plans are limited in their ability to offer care management services. They cannot expand their care management capacity by simply adding resources. Health plans have limited care management capacity because: | • | Care management processes are time-consuming, paper-based, and require costly labor. | | • | Existing IT systems and controls to facilitate care management are inadequate. | | • | Highly manual and inconsistent processes lead to patient and employee dissatisfaction. | | • | Time is wasted tapping into distributed and sometimes outdated knowledge sources. |
SolutionUsing the Microsoft Office System, health plans can develop or invest in solutions that address these business challenges. A care management solution can include: Consistent Task Management | • | Streamline tasks by automating information searches, triggering reminders, and summarizing information. | | • | Use checklists and standardized forms to ensure consistency and completeness across care managers. |
Personalized Care Management Portal | • | Create a unified process and documentation approach that is easy for the care management team to comply with and understand. |
Interoperability | • | Connect care managers with multiple line-of-business applications, such as member management systems or existing care management applications. |
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See how the Microsoft Office System can help to increase care management capacity without adding new staff. BenefitsCare managers can become more efficient and serve more members by: | • | Saving time, which potentially reduces medical costs by $90,000-225,000 per care manager. | | • | Increasing patient satisfaction by providing more consistent and focused interactions. | | • | Improving employee satisfaction and retention by up to 30 percent by enabling employees to spend more time on high-impact interaction with members, and less time searching for and documenting information. | | • | Overcoming the bottleneck of inflexible existing member-management and claims systems. |
A care management solution based on the Microsoft Office System is usually an addition to existing systems. It enables you to: | • | Fill the gap between existing systems to address key business challenges. | | • | Achieve impact faster through reduced training needs. | | • | Improve the data entry and update experience through familiar Microsoft Office products. | | • | Quickly connect with multiple back-end systems. |
Case StudySee how other companies are using the Microsoft Office System for their care management solutions. | • | Premera Blue Cross
Discover how a leading healthcare provider avoids $9.6 million in costs with a case management tool based on the Microsoft Office System. |
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