Becker's Healthcare March 26, 2025
I. Introduction
Payer-led care management serves as an important mechanism through which payers can exert influence on health outcomes, close care gaps, and enhance the performance metrics of health plans. It is progressively becoming more important in the rapidly evolving healthcare landscape, which is characterized by increasing physical and behavioral health challenges, escalating healthcare costs, and shrinking premium margins.
Member engagement lies at the heart of successful payer-led care management. Effective member engagement involves the continuous, active involvement of individuals in managing their health and wellness, which is crucial for driving behavioral change and...
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