AJMC March 29, 2025
Maggie L. Shaw

Key Takeaways

  • Health systems must adopt continuous care management with standardized communication and leadership support to address fragmented care delivery.
  • UC Davis Health prioritized high-risk patients and developed integrated care pathways using multidisciplinary teams to improve care management.
  • Their tiered population health management approach led to significant improvements in patient outcomes and resource utilization.
  • The success of UC Davis Health’s strategy offers a scalable model for other health systems to enhance care management and reduce costs.

Mapping care management needs by defining patient populations and then stratifying them according to risk and their needs can help to spur the transformation of a siloed health care system into an integrated system that is able to better provide holistic, value-based...

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Topics: Health System / Hospital, Payment Models, Provider, Value Based
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