Cost-Effectiveness of Case Management: Experiences of a University Managed Health Care Organization

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Abstract
Effective, multifaceted, and short-term case manage ment services can result in significant, quantifiable cost savings for managed Medicaid, Medicare, and other health care programs. Such savings clearly offset the administrative costs of support for case managers, so cial services departments, and utilization management services. This report reviews various case management models, the costs for case management staff and re source support, and a number of quantified ways in which a social service and utilization management team model saved significant dollars in a number of different service areas. This cost-benefit analysis financially jus tifies administrative support for case management ser vices in the budgets of managed Medicaid programs. Case management is a cost-effective and quality of care management tool.

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