The Commission engages health care policymakers to highlight the importance of including case management in new models of care and new attention to care coordination. This active engagement is vital at a time of rapid transformation in care delivery.
The Commission has identified the federal/state dual eligible integrated care demonstration as one focus of our efforts. This Centers for Medicare and Medicaid Services program provides funding for 15 states to develop innovative approaches to coordinate care for vulnerable individuals eligible for both Medicare and Medicaid. The Commission is identifying the most appropriate roles and functions that case managers can utilize to eliminate duplication of services, expand access to needed care, and improve the lives of dual eligible clients while lowering costs. We are taking this message to the Administration, Congress and targeted stakeholders.
In addition, the Commission continues to encourage the use of qualified professionals, including board-certified case managers, in accountable care organizations, patient-centered medical homes and other transformative models of care. Please see the document underscoring this important issue, The Case for Professional Case Management to Enhance Patient-Centered Coordinated Care: A Sampling of the Evidence. Join the Commission’s efforts to inform leadership, engage policymakers and advance the practice of case management.