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2016 Care Management Market Trends Report

by John Moore lll | February 25, 2016

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“One of the best reports Chilmark Research has ever produced.”
– Long Term Chilmark Research Client and CAS Subscriber

At its core, care management is about delivering the right care in the right setting at the right time, all in the name of closing the care gaps that lead to unnecessary hospitalizations, readmissions, duplicated treatments, and the onset of comorbidities. This aligns with the Triple Aim – improving the care experience, improving population health, and reducing overall care costs – as well as the emerging Quadruple Aim, which adds the goal of improving the experience for those who deliver care.

This sounds simple – and is the backbone of many a sales pitch – but the reality of care management is a series of interconnected workflows. As patients move through the care management life cycle, case managers must coordinate risk scores, assessments, treatment goals, care plans, interventions and, if necessary, care transitions, all while coordinating with medical professionals within and outside the hospital, community organizations, and the patients themselves.

The Vision for Care Management's Future

The Vision for Care Management’s Future

HIT vendors are responding to these needs with products that let multi-disciplinary clinical care teams from different HCOs build and execute evidence-based care plans. The report points to an important, ongoing challenge — incorporating cross-organizational and handoff considerations into existing workflows. For most of these solutions, clinicians toggle from their electronic health record (EHR) to a clinical portal to access care management functionality. EHR vendors have incorporated care management functionality into their products and are building on existing customer relationships to see good initial uptake of their offerings, but again, these solutions fall short of engaging the extended community.

This report is the result of Chilmark’s comprehensive review of over 100 solutions currently available in the market, for which a subset of leading vendors have been comprehensively reviewed (20 in-depth profiles, 9 additional discussed). These solutions will be critical to enable an HCOs population health management strategy.

Vendors Profiled: The Advisory Board Company, Aetna ActiveHealth, Allscripts, athenahealth, Caradigm, CareEvolution, Cerner Corporation, Conifer Health Solutions, eClinicalWorks, Enli Health Intelligence, Epic Systems Corporation, eTransX, Geneia LLC, HealthEC, IBM Watson Health, Influence Health, InterComponentWare AG, Medecision, Optum, Orion Health, Wellcentive, Inc., ZeOmega. Other vendors discussed: ACTmd, Blueprint Healthcare IT, Conversa Health, Cureatr, Forward Health Group, HealthLoop, Patient IO, Rounding Well, Wellframe, Zynx Health

Report Length: 128 pages

Cost: $6,000.00

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