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Overview

We have all been in same place at one time or another. You or someone important in your life has just been diagnosed with a serious condition and have to deal with the consequences and some major decisions need to be made before and during the treatment. In the event it can be difficult to know what decision to make without the right information and guidance. That’s where Med Access’s, expert Medical second opinion and personal medical case management services step in. We provide the latest, evidence-based information and guidance on the quality of care offered by leading hospitals and doctors in India, coupled with ongoing support and supervision of that treatment.

What is Medical Case Management?

“Medical Case Management is a collaborative process of assessment, recommending, planning, coordinating and implementing multi-disciplinary medical services to promote quality and cost effective outcomes and to achieve the best possible treatment and rehabilitation”.

Medical Case Management services ensure that patients receive the appropriate medical care while maximizing cost savings. Medical Case Management team coordinates care for medical procedures, suggests treatment options and monitors ongoing medical treatment.

Medical Case Management is a service delivery approach and provides comprehensive care. Case management’s potential is only beginning to be explored as patients and health insurance companies continue to search for ways to contain cost while retaining quality.

The Case Management process provides an opportunity for the physician and the case management staff to combine their expertise and resources to provide the most efficient, high quality care required to meet the patient’s needs. The collaboration between these parties can produce quality patient outcomes.

Medical Case Management begins with the evaluation and reassessment of the patient’s medical condition, usually with the revision of laboratory and radiology tests. Then, once the best course of action has been decided, the case management team will coordinate medical resources and develop and implement an all-encompassing plan of care.

Throughout this process each individual’s progress is carefully monitored and constant communication between the case management team and the patient ensures that all healthcare needs are being met to ensure ongoing quality care.

Med Access Case Management services are delivered with a rigorous emphasis on integrity and high professional standards, and we are privileged to witness the positive impact it makes on the lives of our patients/clients each and every day.

Objectives of Medical Case Management

Focus on full spectrum of patient’s needs thus identifying patient’s comprehensive needs
Provide information about resources available to the patients
Provide guidance as to how to appropriately access these resources
Focus on outcome of care aiding providers in selecting treatments aimed towards a common goal
Assisting patients and clients in recognizing the usefulness or limitations of services
Negotiating with providers and payers obtaining diverse services with controlled costs

Why Med Access Medical Case Management?

Med Access Medical Case Management services provide those facing a serious medical problem with integrated medical care including: evidence-based medical information, close guidance and medical support. This support is given throughout the entire process, from diagnosis through to recovery.
As the complexity of medical care has increased over recent years, this type of hands-on management of the entire process has proven invaluable and has had a demonstrable positive impact on patient treatment and rehabilitation.

By choosing to partner with Med Access for Medical Case Management, patients, clients and their members benefit from:

  • Med Access Medical Case Management delivers comprehensive care by bringing together the different groups and professionals involved in patient care. From the patient’s perspective the services delivered are consistent and coordinated.
  • Med Access Medical Case Management provides access to a comprehensive provider network.
  • Med Access Medical Case Management services are customized services that are tailored to our patient and clients’ unique needs.
  • Med Access Medical Case Management services deliver outstanding patient empathy and service including the ongoing monitoring of care and regular communication with the patient and his or her family members.
  • Med Access Medical Case management helps patients to have deep savings based on our knowledge and understanding of each hospital’s costs of rendering services.
  • 24/7, 365-days-a-year access to our dedicated case management and customer service teams.

Case Manager’s role in Medical Case Management

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Med Access Case Manager’s responsibilities include the following functions:

By choosing to partner with Med Access for Medical Case Management, patients, clients and their members benefit from:

Advocacy & Education:
  • To be the patient’s advocate.
  • To ensure that patient has needed education and information about the health problem.
Clinical Care Coordination:
  • Coordinate multiple aspects of patient care.
  • Ensure selection of the best and most appropriate doctors.
  • Coordinate consultations and communication with the doctors.
  • Ensure that the patient receives the prescribed treatment.
Continuity/Transition Management:
  • Assistance with the patient admission in the hospital.
  • Ensure smooth transitioning of the patient to the appropriate level of care.
Utilization/Financial Management:
  • Manage resource utilization and reimbursement for services.
  • Ensure accurate and comprehensive medical cost projections.
  • Monitor costs through the complete treatment process.
  • Manage increased cost savings and efficiency.
Performance & Outcomes Management:
  • Monitoring, and if needed, intervening to achieve desired goals and outcomes for the patient.
  • Evaluation of results for patient & adjustment of the care plan.
  • Evaluation of overall program effectiveness & adjustment of the program.
  • Customize care planning that includes monitoring of treatment plan effectiveness at each stage.
Psychosocial Management:
  • Assessing and addressing psychosocial needs including individual, familial, environmental.
  • Maintain continuous communication with the patient, family and physician.
  • Have an advocate for services and plans needed during and after their stay.
  • Plan for transitions of care, discharge and often post discharge follow up.

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