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The Organizational and Operational Setup of Adult Integrated Complex Case Management

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Physician's Guide

Abstract

Even if a small percentage of those coming into contact with ICM managers show improvement, the gains in these few can compensate for the time spent with those who do not show improvement. For instance, Elina was utilizing nearly $175,000 annually in healthcare services with no relief on the horizon. If an ICM manager, such as Heather can break the cycle of healthcare service use, persistent symptoms, more healthcare service use, in only a few of these patients per year, it is possible for her to create a win for all involved. The patient gets better. Physicians feel a sense of accomplishment and relief when their challenging patients finally show improvement. The care delivery system demonstrates an ability to achieve the Triple Aim in a costly subset of patients. Employers have a more productive workforce and lower contribution to insurance premiums. Government agencies have fewer patients using public program services. And, the system saves money.

An approximate answer to the right question is worth a good deal more than an exact answer to an approximate question.

– Paraphrased quote attributed to J. W. Tukey (1915–2000)

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Kathol, R.G., Knutson, K.H., Dehnel, P.J. (2016). The Organizational and Operational Setup of Adult Integrated Complex Case Management. In: Physician's Guide. Springer, Cham. https://doi.org/10.1007/978-3-319-28959-5_4

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  • DOI: https://doi.org/10.1007/978-3-319-28959-5_4

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-28957-1

  • Online ISBN: 978-3-319-28959-5

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