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Catastrophic Case
Management
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Catastrophic Case Management is a customized program designed to care for patients with complex diagnoses, often with multiple co-morbidities. No two patients are alike, so a customized case management plan is developed to assist the patient and family achieve goals for optimal care. The plan also addresses the physician’s need for efficient delivery of services and the payor’s need for cost-effective solutions to care requests. As a result, patients are more likely to make less costly medical decisions, are more satisfied with their care, and report an improved quality of life.
Examples of patient mix by diagnoses include those with:
- Cancer
- HIV
- Transplant
- Trauma
- Stroke
- Congestive Heart Failure
- Diabetes
Cost for services may be determined by the case or by total population.
Download
Brochure
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Case
Study |
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The
Challenge:
A
37
year old male with cancer has been referred to a cancer
treatment center 300 miles from his home.
Over the past two years, he has had multiple surgeries,
undergone several courses of chemotherapy and is currently
awaiting a bone marrow transplant at an area transplant
hospital. The drain
on the family’s resources has been tremendous, both
financially and emotionally.
The
Solution:
The
Gordian Case Manager has been following this patient for the
past two years, coordinating complex services, ensuring
efficient use of resources, and assisting the family as they
make difficult decisions regarding future treatment options.
One of the primary goals for the family has been to limit
personal liability for the financial burden incurred as a result
of care. The case
manager works closely with the family, physician and health plan
to maximize the patient’s benefits and minimize exposure for
all parties to financial loss.
The
Benefits:
The
patient, family, physician and health plan reported high
satisfaction with cost-effectiveness, communication, and
personal attention received as a result of the case management
process.
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