Health insurers in the United States have long viewed care management as a necessary function but not as a strategic part of their core business. Traditional care management, which comprises elements such as wellness programs and longitudinal case management services via telephone engagement, has not been treated as an engine for value creation. As a result, payers struggle to effectively respond to the growing external pressures driving up medical costs. Cost of care has become a burning platform for payers, who need to support high-value medical decisions that improve member health and reduce total cost of care.
Read the full article: How Insurer-Led Care Model Innovation Can Transform Healthcare //
Source: https://www.mckinsey.com/industries/healthcare/our-insights/healthcare-blog/how-insurer-led-care-model-innovation-can-transform-healthcare