Category: Care Gaps

In today’s complex healthcare landscape, effective care management requires seamless coordination across multiple disciplines, including care management, utilization management, care coordination, disease management, and population health management. Automated solutions enhance efficiency, but without well-structured workflows, even the most sophisticated technology can fall short of delivering optimal outcomes.

A recent study published in JAMA Network Open suggests that physician groups operating under at-risk Medicare Advantage (MA) payment models (2-sided risk) may be delivering higher-quality, more efficient care than their fee-for-service (FFS) counterparts.