Case-managed care may enhance profit in a for-profit health organization by:

Question

Quizplus · Accepted Answer

Case-managed care focuses on providing the appropriate level of care at the most cost-effective level possible. By minimizing costs in areas of high resource consumption, a for-profit health organization can improve its profitability. This can be achieved through appropriate utilization of resources, reducing lengths of stay, and avoiding unnecessary hospitalizations. Combining licensed and non-licensed care providers, increasing reimbursement from third-party payers, or reducing the amount of technology used to support clinical decision-making may or may not improve profitability depending on the specific circumstances and goals of the organization.

Case-Managed Care May Enhance Profit in a For-Profit Health Organization