The Business Case for Case Managers

Monday, March 7th, 2011
This post was written by Patricia Donovan

In a post-PPACA world, the healthcare case manager is not only a cornerstone of care delivery, but also a wise investment. In a featured story in this week’s Healthcare Business Weekly Update, Lutheran Medical Center’s Toni Cesta makes the business case for embedding a case manager in a hospital emergency department.

Many organizations are following the lead of organizations like Lutheran and co-locating case managers at the point of care. Another widely emulated example is Geisinger’s successful ProvenHealth NavigatorSM model, which embeds a nurse case manager in a primary care practice. This tactic is greatly reducing hospital readmissions and ER visits for the health system.

The practice of co-located case managers is on the upswing, according to preliminary data from our 2011 Case Management survey. For example, the number of case managers working in hospital admissions offices has doubled in the last year, according to more than 200 survey respondents. To receive an e-summary of 2011 case management trends once it is compiled, please e-mail

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