There’s a lot going on with healthcare reform. The thousands of pages that outline the Affordable Care Act are intimidating for any lay person and even some experts to understand. Its aim though is relatively simple: better patient care, improved population health, and lower costs. But how do you really achieve that?
There are a number of exciting initiatives that are underway to reach this triple aim. Yet, from my perspective, I would argue that the secret sauce of healthcare reform centers on case management. Case management can be defined as the coordination of health services across different providers and locations to promote quality, cost-effective outcomes for patients. At its heart is a case manager or care navigator. (Not to be confused with “exchange navigators”; the Feds released a proposed rule last week that defined the eligibility of people who are tasked with providing guidance to people enrolling in the federal health insurance