Demonstrating the Value of the Embedded Case Manager for the Medicare Population

When healthcare providers and health plan case managers join forces in the physician practice, the end result is “care completion,” explains Dr. Randall Krakauer, medical director for Aetna Medicare. In his second HealthSounds interview, Dr. Krakauer describes how the meshing of complementary patient data and knowledge from payor and provider improves the “completion factor” of care that is ordered and provides feedback on the impact of this care.

Dr. Krakauer presented during the November 30, 2011 webinar, Demonstrating the Value of the Embedded Case Manager for the Medicare Population, during which he will share the strategy supporting Aetna’s embedded case management initiative, along with results from the program relating to healthcare utilization and member satisfaction.


Length: 6:05 minutes

Fifth Annual Medical Home Benchmarks: PCMH Stepping Stone to ACO

HIN’s fifth annual survey on the patient-centered medical home (PCMH) recorded the highest PCMH adoption levels to date, reports Melanie Matthews in this benchmarks podcast. A substantial number of medical homes expect to participate in an accountable care organization (ACO); Ms. Matthews also shares key metrics from the 2011 survey, including time required for medical home conversion and the PCMH effect on medication adherence and patient satisfaction.

The survey also identified an impressive jump in the embedding of case managers in medical homes. Dr. Bruce Nash, senior VP of medical affairs and CMO for CDPHP, where embedded case managers are at the heart of CDPHP’s clinical transformation, describes what sets his program apart from other medical home pilots.

Need more information on this topic? Download an executive summary of the survey results.


Length: 3:59 minutes