Fourth-generation care management model can help high-risk patients

An emerging case management model involving fourth-generation patient-centered care coordination may help address the shortcomings of traditional case management models, especially in high-risk populations, according to a Phoenix Medical Management, Inc., article.

Fourth-generation care management is aimed at helping patients and families better understand health information and treatment options as well as facilitating the sharing of information across providers to reduce the likelihood of retesting and ensure appropriate follow-up care is provided. It can also help patients select specialty providers and address specific accommodations required by patients, according to Phoenix Medical Management, Inc.

Traditional case management models focus primarily on discharge planning and utilization review, but this approach often means high-risk patients with advanced or chronic conditions do not get needed care. The fourth-generation model is often referred to as a population health or continuum of care model. Such models link acute and postacute care, as well as community care, for roughly 90 days to ensure smooth transitions.