Care Cycle Management

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EVOLUTION
OF
THE
BUSINESS
MODEL
 
 
 Health
care
reform
has
spawned
a
new
industry
called
Care
Cycle
Management.

Care
Cycle
 Management
involves
caring
for
the
sickest
25%
of
the
population
that
cost
the
healthcare
system
85%
of
 total
healthcare
expenditures1
by
coordinating
the
patient’s
care
so
that
the
majority
is
provided
in
the
 patient’s
home.

There
are
four
core
activities
that
make
this
evolving
industry
the
center
and
future
of
 chronic
care
disease
management.
 
 1. Remote
patient
monitoring:

Daily
monitoring
of
chronically
ill
patients’
alerts
the
providers
to
a
 potential
exacerbation
of
their
condition
that
could
otherwise
result
in
a
hospitalization.
Strategic
 interventions
by
the
clinical
monitoring
staff
provide
opportunities
for
care
coordination
and
 patient
training.
 2. Physician
house
calls:

By
providing
physician
care
in
the
home,
patients
are
more
likely
to
see
a
 physician
regularly.
Visiting
physician
services
will
also
help
Care
Cycle
Management
companies
 become
the
center
of
care
management
as
the
physician
is
typically
the
gatekeeper
to
the
patient.

 3. Home
healthcare:

With
increased
technologies
and
abilities
of
home
care
providers,
more
care
is
 being
pushed
into
the
lower
cost
settings
of
the
home.

By
providing
intermittent
nursing
and
 rehabilitative
care,
care
cycle
managers
can
further
reduce
the
need
for
higher
cost
 hospitalizations.
 4. Hospice:

Effectively
managing
the
entire
disease
cycle
of
the
patient
will
lead
most
providers
to
 include
hospice
as
part
of
their
care
delivery
continuum,
which
will
lead
to
improved
patient
care
 and
lower
cost
of
total
care.
 
 While
some
care
cycle
managers
may
provider
other
services,
such
as
durable
medical
equipment
or
 home
infusion,
the
core
services
listed
above
will
be
the
most
effective
in
reducing
cost
for
payors.
The
 Care
Cycle
Management
business
model
leverages
established
competencies
industries
and
takes
...
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