What best describes the Care Management model?

The Care Management model is fundamentally designed to coordinate healthcare services for members, ensuring that their primary and preventive care needs are adequately addressed. This coordination involves working closely with various healthcare providers, including primary care physicians, specialists, and nursing staff, to create a comprehensive approach to patient care. The model recognizes that members often have complex healthcare needs that require continuity and collaboration between different parts of the healthcare system.

By focusing on comprehensive coverage for both provider and nursing care, the model aims to improve health outcomes and enhance the quality of care delivered to patients. This collaborative effort allows for more personalized care, helping to manage chronic conditions, prevent hospitalizations, and generally support the overall health and wellness of members.

In contrast to other possible options, the Care Management model is not limited to just mental health services, acute care, or functioning independently of the specific health requirements of members. Understanding that health care involves a range of services and considerations is essential when defining the goals and processes that underpin effective care management.