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Payer’s new role in treatment management

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Healthcare-technology industry veteran Ted Quinn looks at the new importance of the payer in team-based management of patient treatment.

He writes:

“Payers should leverage their unique access to data to support case management for members requiring complex care moving through a range of providers, care settings, and even care at home. In my work with different payers, I see them deploying different case management models which can be categorized into three blocs.

“The first is a disease-focused model, the second is a model in which coordinators are embedded into their practices, and the third is a centralized model in which case managers focus on high-risk members. At the same time, other healthcare organizations are also deploying case managers to engage with patients.”

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