Coordination of care is key to achieving improved quality, care and cost outcomes. Care coordination facilitates increased accessible and timely care, improved member experience and reduced hospitalizations.
Medicare Advantage plans can achieve this by using tools for identification and stratification, comprehensive health risk assessments, individualized person-centered care plans, coordination of services, and care monitoring.Ideal Care Coordination tools should:
- Facilitate a proactive, patient-centric ‘whole person care’ approach
- Include an individual’s medical, physical, and social determinant of health needs
- Support efficient and effective collaboration and coordination of the patient’s necessary care, services, and community resources