As healthcare in the United States has evolved toward a model of value-based care (VBC), so, too, has the concept of care management evolved. No longer is care management limited to the high-risk patients who require high-touch care interventions. Healthcare organizations (HCOs) are increasingly broadening the reach of care management to include the rising-risk population: Those in danger of developing a preventable chronic condition such as Type 2 diabetes or hypertension due to any number of health, lifestyle, genetic, or environmental factors.
Care management vendors are now starting to align around a core care management process: Identify patients, create care plans, communicate care plan goals and tasks to patients, monitor patient progress, and alter care plans as needed. Across the market, vendors are differentiating in the more nuanced parts of the process: How patients are identified, where care plans come from, how well patients are engaged, and how much of the care management process can be automated.
In last year’s seminal report on this market, vendors were focused on comprehensive and longitudinal care coordination. This has fallen out of favor with provider organizations due to costs and evasive return on investment. Providers are now focusing more directly on episodic programs directly tied to Medicare reimbursements, such as 30-day readmission penalties or 90-day bundled payment programs.
This report provides a comprehensive review of more than 25 solutions available today to meet the various needs of provider organizations pursuing care management strategies. It also examines for the first time the potential for patient relation management (PRM) and condition-specific solutions to help HCOs engage with patients and achieve ROI in their care management programs. Reflecting the market’s emphasis on episodic care, the report’s vendor rankings focuses on core care management functionality and places less emphasis on a solution’s care coordination features.
Current and prospective vendors of care management solutions will find this report valuable, as will providers and payers looking to buy or replace a care management solution. Consultants, investors, patient advocates, conveners, and others will all benefit from this in-depth report.
Vendors Profiled: Allscripts, athenahealth, Caradigm, CareEvolution, Cerner Corporation, Conifer Health Solutions, eClinicalWorks, Enli Health Intelligence, Epic Systems Corporation, Evolent Health, Geneia LLC, GSI Health LLC, Health Catalyst, HealthEC, IBM Watson Health, Lightbeam Health Solutions, Medecision, Optum, Philips Wellcentive, Inc., Salesforce.com
Report Length: 118 pages
Report Cost: $6,000 (Discounts for qualified provider organizations. Email John for details.)