2019 Best Practice Awards Submission for Care Management Workflow
The goal of the program was to provide specialized and supportive care management to PO-specific members free of charge, serving the managed Medicaid, BCBSM commercial/MA, and other commercial populations. Centralized specialists (pharmacist, behavioral health counselor, dietitian) were available for unlimited referrals to 21 primary care practices. Supportive personnel reduced administrative burden on individual care managers of report generation, program-related troubleshooting and oversight, and data entry. Centralized support was provided for the transition of care process, initiating the phone call requirement.