# Case Management * **Definition:** A collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates the options and services required to meet a patient's health needs, ensuring comprehensive care and support for individuals and families. * **Taxonomy:** Healthcare Topics / Case Management ## News * Selected news on the topic of **Case Management**, for healthcare technology leaders * 4.7K news items are in the system for this topic * Posts have been filtered for tech and healthcare-related keywords | Date | Title | Source | | --- | --- | --- | | 5/6/2025 | [**Longitudinal, Relationship-Based Case Management: A Prospective Cohort Trial**](https://www.ajmc.com/view/longitudinal-relationship-based-case-management-a-prospective-cohort-trial) | [[AJMC]] | | 4/7/2025 | [**From New Case Management Models to Bitcoin Mining, How Nursing Homes are Growing Profits**](https://skillednursingnews.com/2025/04/from-new-case-management-models-to-bitcoin-mining-how-nursing-homes-are-growing-profits/) | [[Skilled Nursing News]] | | 4/2/2025 | [**WellSky® Introduces New Care Transition Dashboards to Transform Case Management and ...**](https://finance.yahoo.com/news/wellsky-introduces-care-transition-dashboards-130000724.html) | [[Yahoo Finance]] | | 3/27/2025 | [**Optimizing Care Coordination Through AI-Driven Discharge Intelligence**](https://hitconsultant.net/2025/03/27/optimizing-care-coordination-through-ai-driven-discharge-intelligence/) | [[HIT Consultant]] | | 3/26/2025 | [**Xsolis Announces Its Return as Platinum Sponsor of the American Case Management ...**](https://finance.yahoo.com/news/xsolis-announces-return-platinum-sponsor-120000662.html) | [[Yahoo Finance]] | | 3/14/2025 | [**'No Bigger Crisis': James Carville Nails The 'Profound' Problem With Trump's Return**](https://www.aol.com/no-bigger-crisis-james-carville-063619712.html) | [[AOL]] | | 2/19/2025 | [**Where 13 payers are growing in 2025**](https://www.beckerspayer.com/leadership/where-13-payers-are-growing-in-2025.html) | [[Beckers Payer]] | | 1/22/2025 | [**American Case Management Association (ACMA) National Conference April 3-6 in Denver ...**](https://www.morningstar.com/news/globe-newswire/9335468/american-case-management-association-acma-national-conference-april-3-6-in-denver-colorado) | [[Morningstar]] | | 1/22/2025 | [**American Case Management Association (ACMA) National Conference April 3-6 in Denver, Colorado**](https://markets.businessinsider.com/news/stocks/american-case-management-association-acma-national-conference-april-3-6-in-denver-colorado-1034255189) | [[Business Insider Markets]] | | 12/19/2024 | [**Arisa Health Selects Netsmart to Drive Integrated Care Across Arkansas**](http://www.businesswire.com/news/home/20241219210480/en/Arisa-Health-Selects-Netsmart-to-Drive-Integrated-Care-Across-Arkansas/?feedref=JjAwJuNHiystnCoBq_hl-Q-tiwWZwkcswR1UZtV7eGe24xL9TZOyQUMS3J72mJlQ7fxFuNFTHSunhvli30RlBNXya2izy9YOgHlBiZQk2LOzmn6JePCpHPCiYGaEx4DL1Rq8pNwkf3AarimpDzQGuQ==) | [[Business Wire]] | | 12/19/2024 | [**Arisa Health Selects Netsmart to Drive Integrated Care Across Arkansas**](http://www.businesswire.com/news/home/20241219210480/en/Arisa-Health-Selects-Netsmart-to-Drive-Integrated-Care-Across-Arkansas/?feedref=JjAwJuNHiystnCoBq_hl-RLXHJgazfQJNuOVHefdHP-D8R-QU5o2AvY8bhI9uvWSD8DYIYv4TIC1g1u0AKcacnnViVjtb72bOP4-4nHK5ieT3WxPE8m_kWI77F87CseT) | [[Business Wire]] | | 12/19/2024 | [**Regulator disqualifies three charity trustees - AOL.com**](https://www.aol.com/news/regulator-disqualifies-three-charity-trustees-101017060.html) | [[AOL]] | | 12/12/2024 | [**Health IT Business News - December 12, 2024**](https://www.healthitanswers.net/health-it-business-news-december-12-2024/) | [[Health IT Answers]] | | 11/23/2024 | [**Future Growth Trends in Offsite Medical Case Management Market with a Forecasted 11.1 ...**](https://www.linkedin.com/pulse/future-growth-trends-offsite-medical-case-management-pjnuc) | [[Linkedin]] | | 11/15/2024 | [**Florida AG promises that truth of FEMA bias allegations will come out in political ...**](https://www.aol.com/news/florida-ag-promises-truth-fema-210056004.html) | [[AOL]] | | 11/11/2024 | [**Population Health Management Market to Grow by USD 22.55 Billion from 2024-2028 ...**](https://www.prnewswire.com/news-releases/population-health-management-market-to-grow-by-usd-22-55-billion-from-2024-2028--driven-by-rising-adoption-of-healthcare-it-report-with-ai-impact-on-trends---technavio-302300769.html) | [[PR Newswire]] | | 10/21/2024 | [**Medical Case Management Services Market: Global Market Trends and Market Forecast (2024**](https://www.linkedin.com/pulse/medical-case-management-services-market-global-trends-wh5lc) | [[Linkedin]] | | 10/15/2024 | [**MCG and Case Management Institute Partner to Provide Utilization Management Training and Certification**](https://www.prweb.com/releases/mcg-and-case-management-institute-partner-to-provide-utilization-management-training-and-certification-302252952.html) | [[PRWeb]] | | 8/18/2024 | [**Case Management Organizations Partner Again to Recognize Case Managers**](https://finance.yahoo.com/news/case-management-organizations-partner-again-150000861.html) | [[Yahoo Finance]] | | 8/16/2024 | [**Social Work Case Management Software Global Market Innovations Investigated by ... - WhaTech**](https://www.whatech.com/og/markets-research/industrial/867887-social-work-case-management-software-global-market-size-share-key-insights-research-and-forecast-2024-2033.html) | whatech.com | | 8/12/2024 | [**Quantum Health Appoints Dr. Stanley Crittenden as New Chief Medical Officer**](http://www.businesswire.com/news/home/20240812304065/en/Quantum-Health-Appoints-Dr.-Stanley-Crittenden-as-New-Chief-Medical-Officer/?feedref=JjAwJuNHiystnCoBq_hl-Q-tiwWZwkcswR1UZtV7eGe24xL9TZOyQUMS3J72mJlQ7fxFuNFTHSunhvli30RlBNXya2izy9YOgHlBiZQk2LOzmn6JePCpHPCiYGaEx4DL1Rq8pNwkf3AarimpDzQGuQ==) | [[Business Wire]] | | 7/10/2024 | [**Medical Case Management Market is projected to expand to USD 12.3 billion at a CAGR of 6.1% between 2024 and 2034 - Exclusive Report by Transparency Market Research, Inc.**](https://www.prnewswire.com/news-releases/medical-case-management-market-is-projected-to-expand-to-usd-12-3-billion-at-a-cagr-of-6-1-between-2024-and-2034--exclusive-report-by-transparency-market-research-inc-302193435.html) | [[PR Newswire]] | | 7/3/2024 | [**North America Case Management Software Markets 2024-2030 Featuring AbacusNext ...**](https://www.businesswire.com/news/home/20240703521609/en/North-America-Case-Management-Software-Markets-2024-2030-Featuring-AbacusNext-Actionstep-Athena-Software-Casebook-CoCounselor-CosmoLex-FAMCare-IBM-Rocket-Matter-Salesforce-Social-Solutions---ResearchAndMarkets.com) | [[Business Wire]] | | 7/3/2024 | [**North America Case Management Software Markets 2024-2030 Featuring AbacusNext, Actionstep, Athena Software, Casebook, CoCounselor, CosmoLex, FAMCare, IBM, Rocket Matter, Salesforce, & Social Solutions - ResearchAndMarkets.com**](http://www.businesswire.com/news/home/20240703521609/en/North-America-Case-Management-Software-Markets-2024-2030-Featuring-AbacusNext-Actionstep-Athena-Software-Casebook-CoCounselor-CosmoLex-FAMCare-IBM-Rocket-Matter-Salesforce-Social-Solutions---ResearchAndMarkets.com/?feedref=JjAwJuNHiystnCoBq_hl-Q-tiwWZwkcswR1UZtV7eGe24xL9TZOyQUMS3J72mJlQ7fxFuNFTHSunhvli30RlBNXya2izy9YOgHlBiZQk2LOzmn6JePCpHPCiYGaEx4DL1Rq8pNwkf3AarimpDzQGuQ==) | [[Business Wire]] | | 7/3/2024 | [**North America Case Management Software Markets 2024-2030 Featuring AbacusNext, Actionstep, Athena Software, Casebook, CoCounselor, CosmoLex, FAMCare, IBM, Rocket Matter, Salesforce, & Social Solutions - ResearchAndMarkets.com**](http://www.businesswire.com/news/home/20240703521609/en/North-America-Case-Management-Software-Markets-2024-2030-Featuring-AbacusNext-Actionstep-Athena-Software-Casebook-CoCounselor-CosmoLex-FAMCare-IBM-Rocket-Matter-Salesforce-Social-Solutions---ResearchAndMarkets.com/?feedref=JjAwJuNHiystnCoBq_hl-RLXHJgazfQJNuOVHefdHP-D8R-QU5o2AvY8bhI9uvWSD8DYIYv4TIC1g1u0AKcacnnViVjtb72bOP4-4nHK5ieT3WxPE8m_kWI77F87CseT) | [[Business Wire]] | ## Topic Overview (Some LLM-derived content — please confirm with above primary sources) ### Key Players - **Case Management Institute**: Founded by Deanna Cooper Gillingham and Abi Carmen, it supports professionals in advancing their careers. - **American Case Management Association (ACMA)**: An organization that serves over 17,000 members and provides resources for case management professionals. - **Commission for Case Manager Certification (CCMC)**: The largest nationally accredited organization for case management certification. - **Community Care of the Lower Cape Fear (CCLCF)**: An organization that achieved case management accreditation, recognized for improving healthcare outcomes in southeastern North Carolina. - **CaseWorthy, Inc.**: A social services case management solution provider that acquired Eccovia, enhancing its capabilities in case management and data analytics. - **Included Health**: A healthcare organization that integrates medical and behavioral health needs through case management. - **Actionstep**: A cloud-based case management software provider that offers solutions for legal and professional services. - **Salesforce**: A major player in customer relationship management (CRM) that also provides case management solutions tailored for healthcare. - **Cycurion**: Specializes in cybersecurity solutions for case management systems in the justice sector. - **HCA Healthcare**: The largest health system in the U.S. leveraging AI to enhance clinical and administrative operations, including case management. - **ThoroughCare**: Enhances care coordination for long-term and post-acute care providers through real-time patient insights. - **Chordline Health**: Provider of managed care software for healthcare organizations, focusing on case management and utilization management. - **AbacusNext**: A leading provider of case management software solutions, focusing on legal and healthcare sectors. - **Xsolis**: A company focused on AI-driven solutions for operational challenges in case management. - **Dimagi**: A company recognized for its innovative digital solutions in public health, particularly through its CommCare platform, which enhances case management. - **Mitratech**: A provider of case management solutions, including GovNoticeIDP, an AI-powered tool for immigration case management. - **MCG Health**: Partnered with the Case Management Institute to offer a CNE-credited course for nursing professionals. - **PointClickCare**: A cloud-based software company focused on elder care, helping providers navigate transitions of care and improve revenue cycles. - **YoCierge**: A company that launched a DICOM Radiology Viewer integration with SmartAdvocate to enhance legal case management for personal injury law firms. ### Partnerships and Collaborations - **CCMC and ACMA**: Collaboration to celebrate National Case Management Week and enhance the skills of certified case managers. - **WellSky and The Center for Case Management**: Collaborated to introduce the Clinical Performance dashboard for analyzing case management performance. - **ThoroughCare and PointClickCare**: Integrated care management software to enhance care coordination for long-term and post-acute care providers. - **MCG Health and Case Management Institute**: Collaborated to offer a CNE-credited course combining Utilization Management foundations with MCG training. - **Mitratech and Global Organizations**: Partners with various organizations globally to enhance case management capabilities. - **Ascertain and Northwell Health**: Partnership aimed at automating administrative tasks for case managers to improve patient care. - **Cycurion and Journal Technologies**: Expanded partnership to deliver a criminal justice case management system enhancing cybersecurity. - **Volunteers of America and Dimagi**: Partnered to utilize the CommCare platform for improved case management and health outcomes in the CHW program. - **Clarra and Legal Soft**: Strategic partnership aimed at enhancing operational efficiency and visibility for litigation law firms through advanced case management tools. - **Columbus Organization and Vermont's Department of Aging**: Selected to provide home and community-based case management services for individuals with disabilities. - **Adobe Population Health and New Mexico**: Launched a Perinatal Case Management Program to improve maternal and infant health outcomes. - **Talkiatry, Eating Recovery Center, and Pathlight Mood & Anxiety Centers**: Collaborating to enhance care pathways for individuals with eating, mood, and anxiety disorders. - **CrossTx and Artemis Global RPM**: Collaboration to enhance Remote Patient Monitoring and Chronic Care Management across the U.S. - **i2i Population Health and CureMD**: Formed a strategic partnership to integrate technologies for better care management and health outcomes. - **Armedia and Postal Regulatory Commission**: Armedia's ArkCase received FedRAMP Authorization, enhancing its case management capabilities for federal compliance. - **Acentra Health and Washington State**: First to move a Medicaid Enterprise System to the cloud, showcasing technological leadership in public health. - **Netsmart and Arisa Health**: Partnered to implement the CareFabric platform to improve clinical, financial, and operational efficiencies. - **HealthArc and athenahealth**: Integrated their platforms to enhance clinical documentation automation and patient engagement. - **MetaPhy Health and ActiumHealth**: Collaborating to improve patient engagement using AI-powered voice agents. ### Innovations, Trends, and Initiatives - **National Case Management Week**: The ACMA and CCMC are promoting awareness of case management's role in healthcare through events and initiatives. - **User-Centric Design**: Social work case management software is increasingly focusing on user experience and predictive analytics to enhance service delivery. - **Perinatal Case Management Program**: Aimed at improving maternal and infant health outcomes through personalized care. - **Automation in Case Management**: Appian's Amicus system automates administrative tasks, allowing staff to focus on higher-value work. - **AI in Case Management**: HCA Healthcare is exploring AI technologies to streamline workflows in case management, enhancing staffing and scheduling processes. - **Growth of Case Management Software Market**: Projected growth from $2.37 billion in 2023 to $4.48 billion by 2030, driven by demand for efficient case handling. - **AI Integration**: The integration of AI and machine learning in case management is enhancing automation, data analytics, and accessibility. - **AI and Automation**: The integration of AI and machine learning in case management solutions is enhancing automation, data analytics, and accessibility. - **Telehealth Integration**: The rise of telehealth is influencing case management practices, particularly in managing chronic conditions and improving patient outcomes. - **CommCare Platform**: Utilized by VOA's CHWs for efficient patient information management, health assessments, and tracking client progress. - **AI-Powered Solutions**: Ascertain's AI-driven platform aims to automate workflows, allowing case managers to focus on patient care. - **Offsite Medical Case Management**: Projected to grow at a CAGR of 11.1% from 2024 to 2031, driven by technological advancements and patient expectations. - **Integration of Legal and Healthcare Systems**: YoCierge's integration of DICOM Radiology Viewer with SmartAdvocate improves efficiency in legal case management. - **Health Equity Initiatives**: Accessia Health emphasizes improving health literacy and case management to empower patients in navigating healthcare options. - **CareFabric Platform**: Aimed at optimizing care delivery and enhancing service offerings in behavioral health. - **Technology-Enabled Care Models**: Strive Health's technology-enabled care model integrates local providers to enhance patient journeys from CKD to ESKD. - **Smart Care 360**: A platform by MRG Health that integrates with over 250 FDA-approved devices for chronic disease management. - **Value-Based Care Models**: Shift towards value-based care focusing on quality and patient outcomes rather than volume. ### Challenges and Concerns - **Compliance and Security**: Ensuring compliance with regulations while maintaining high security standards is a critical concern for case management providers. - **Regulatory Compliance**: Healthcare organizations face increasing regulatory demands, necessitating reliable safety case management solutions. - **Denial Management**: Increased denials by commercial health plans are leading to significant financial burdens on hospitals, necessitating improved case management strategies. - **Authorization Challenges**: Long-term care providers face stricter authorization requirements, prompting the need for smarter case management solutions. - **Healthcare Inequity**: Significant financial losses and inadequate care for patients with chronic diseases highlight the need for improved case management and access to resources. - **Culturally Competent Care**: Importance of addressing the unique needs of specific communities, such as Native Americans, in treatment programs. - **Access to Quality Care**: The need for seamless transitions between different levels of care for marginalized populations affected by mental health issues. - **Data Sharing Misconceptions**: Myths surrounding healthcare data sharing, particularly regarding HIPAA, hinder effective case management practices. - **Fragmentation in Care**: Inefficiencies in patient care leading to poor outcomes and revenue loss, necessitating better care coordination. - **Labor Shortage**: The U.S. healthcare system faces a significant labor shortage, with over 100,000 unfilled positions for case managers. - **Integration of Technologies**: Need for interoperability among systems to streamline workflows and improve patient outcomes. - **Integration of Legacy Systems**: Organizations like the Victorian Office of Public Prosecutions sought scalable solutions to replace high-maintenance legacy systems. - **Hiring Experienced Professionals**: The healthcare industry faces challenges in hiring experienced clinical professionals. - **Compliance with Regulations**: Healthcare organizations must adapt their strategies to ensure compliance with evolving regulations. - **Employee Burnout**: High levels of burnout in revenue cycle and utilization management roles are a concern, with AI solutions proposed to alleviate workloads. - **Funding for AI Startups**: Clinical care startups face challenges in securing later funding stages due to high liability risks and the need for demonstrated accuracy. - **Financial Incentives vs. Quality of Care**: Balancing financial incentives with a commitment to improving the quality of care in value-based models. - **Data Management Overload**: The rapid growth of healthcare technology has led to overwhelming amounts of data, contributing to physician burnout. - **Operational Costs**: Healthcare payers are looking to reduce operational costs through automation and improved care delivery processes. - **Cybersecurity Threats**: Growing concerns about cybersecurity in healthcare, prompting organizations to enhance digital health strategies. ## Related Topics [[Claims Management]]