Care Management Toolkit

Recording: Care Management Benchmarking Analysis 2022
Health Plan Alliance and Toney Healthcare Consulting review the results of the 2022 Care Management Benchmarking survey conducted by the Health Plan Alliance to help member health plans understand CM strategies, structure, staffing, caseloads, platforms and more.

Presentation: Care Management Benchmarking Analysis 2022
Health Plan Alliance and Toney Healthcare Consulting review the results of the 2022 Care Management Benchmarking survey conducted by the Health Plan Alliance to help member health plans understand CM strategies, structure, staffing, caseloads, platforms and more.

Recording: Care Management Learning Series September 2022
Alliance members participate in a health plan-led discussion about a hot topic in care management. Participants hear about best practices and have an opportunity to share their challenges and lessons learned.

Recording: Care Management Learning Series July 2022
Health Plan Alliance members discuss challenges and pose solutions related to Care Management at the July peer group meeting.

Care Management Benchmark Preliminary Results
Mike Miniati from Toney Healthcare Consulting shares preliminary results from the 2022 Care Management Benchmarking survey.

Whitepaper: Appropriateness of Care Measurement
Motive Medical Intelligence shares insight on reducing waste and improving outcomes through evidence-based clinical best practices.

Recording: Care Management Engagement Strategies: Addressing Unable to Reach Members
Alliant Health Plans kicks off the conversation about care management engagement by sharing current challenges and an exploration of strategies to improve effectiveness. Attendees discuss best practices, working with interdisciplinary groups, and dealing with the hard-to-reach members.

Presentation: Care Management - Reaching Members
Alliant Health Plans kicks off the conversation about care management engagement by sharing current challenges and an exploration of strategies to improve effectiveness. Attendees discuss best practices, working with interdisciplinary groups, and dealing with the hard-to-reach members.

Care Coordination Metrics
Health Alliance Medical Plans shares the metrics they use to track their care coordination programs.

Presentation: Case study - A medical home program powered by data
SelectHealth shares how they are incorporating pay-for-performance programs, provider engagement and chronic condition management approaches to support HCCs and quality gap in care closure. Presented at the Leveraging Analytics meeting in Fort Worth, Texas.

Presentation: What leveraging pop health, big data and social determinants looks like in the real world
Carrot Health discusses how Alliance participants are using SDoH to impact Medicare Star ratings, care management and risk adjustment. This presentation took place on January 31, 2019 during the Leveraging Analytics meeting in Fort Worth, Texas.

WEA Trust: Addressing Member Access Issues Through Urgent Care & Behavioral Health Telehealth
American Well's Jasmine Rogness, product management specialist at WEA Trust, discusses how WEA Trust addressed. their issues through telehealth.

Templates: Medical Management Dashboards
Health Alliance Plan shares templates of medical management dashbaords for a variety of audeinces. Included are dashboards for Executves, Management, and the Frontline. Contains dummy data.

Presentation: Automating Prior Authorization: Removing Barriers to Utilization Management
In this webinar, eviCore shares how health plans can continue to benefit from utilization management programs while preserving provider relations and growing networks.

December 2018 Coding Work Group Case Studies
Geisinger Health Plan shares recently coded charts and questions to facilitate discussion on risk adjustment coding best practices during the December 6, 2018 Coding Work Group Session.

Building Payer-Provider Partnerships for Care Management
In this white paper, Navigant Consulting Inc. and the Health Plan Alliance share eight strategies for success in care management. Based on research among three leading provider-sponsored health plans (Health Plan Alliance members), the paper provides real-world examples of how payers and providers can collaborate successfully in developing care management strategies and reducing per member per month costs.

Meal Delivery Programs Reduce The Use Of Costly Health Care In Dually Eligible Medicare And Medicaid Beneficiaries
Delivering food to nutritionally vulnerable patients is important for addressing these patients social determinants of health.

Presentation: Population Health and Care Management for Complex Patients
Adventist Health Plan shares how they used traditional population health approaches,complemented by a complex care management clinic and team of health care professionals, to manage a rural population of families, adults, and seniors and persons with disabilities (SPDs) to meet their health care and social needs in a quality, cost efficient manner.

Care Management Satisfaction Survey
Network Health Plan provides an example of a care management satisfaction survey.

Presentation: How to achieve a 10:1 ROI on care management programs AND reduce disenrollment and close gaps in care
Welltok will share how they support and drive value for Health Plan Alliance (HPA) members. They will also share how there award-winning consumer activation platform, advanced analytics and multi-channel communications help health plans increase member retention and satisfaction, drive engagement and improves healthcare value.