Tag Archives: care management

Identifying rising risk patients can reduce costs for healthcare organizations

Identifying future high-risk, or rising risk, patients can help healthcare organizations reduce population health costs through early intervention. In this paper, Milliman consultants Ksenia Whittal and Abigail Caldwell examine predictive models to determine if an enhanced model can better identify individuals with rising risk relative to traditional prospective risk adjustment models. The authors also assess the capability of these models to select members whose costs will increase in the future year.

Principles and evaluation of care management interventions

With greater emphasis on delivering quality health outcomes while reducing costs, organizations are making care management an indispensable part of their system. This paper by Milliman consultants Neha Taneja and Joanne Buckle illustrates the importance of evaluating interventions for policymakers, healthcare organizations, payers, and providers seeking to implement care management.