Reference no: EM133546767

Assignment:

Reminders, clinical decision-support systems, predictive modeling, guidelines, and rules are all common strategies used by health plans to influence the amount and type of care that providers deliver to their patients. Reminders prompt physicians about a patient's care needs prior to, or at the time of, the treatment visit. Clinical decision-support systems typically involve software designed to assist the physician's clinical decision-making. Predictive modeling uses large claims databases to identify patients who may be at risk of specific illnesses in the 14 future and alert clinicians prior to the patient visit. Guidelines, or pathways, assist physicians in taking the appropriate treatment steps, given a patient's condition, and often are applied when treating patients with chronic health problems. Rules are used by health plans to intervene more directly in the care process.

During this week, you will develop a comprehensive discussion post which includes the following:

Identify and discuss an example where a patient would benefit from case management or disease management by the managed care organization. In your example, include one source from the literature which documents an effective outcome from case management or disease management.