High Value
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Medical Cost Reduction & Claims Flow Management
Solutions
CASE MANAGEMENT
Improving the quality & cost-effectiveness of treatment
...one member at a time
OVERALL MEMBER SATISFACTION
INETICO's Case Management services are designed to improve the quality of patient care and maximizing cost savings. Our Utilization Management flags cases that may benefit from Case Management intervention, helping to facilitate early identification, prevent re-hospitalization and significantly reduce costs.  Our case managers are registered nurses who function as advocates, facilitators and educators, ensuring members receive appropriate care at the right time, in the right setting & at the right cost.
98%
COMPARED TO AN
INDUSTRY AVERAGE 
​OF 94%*

CASE MANAGEMENT IS NECESSARY WHEN MEMBERS HAVE:
AVERAGE ROI ON:
CASE MANAGEMENT
8.6:1
Acute healthcare needs, diagnoses or hospitalizations
QUANTIFIABLE, HARD DOLLAR SAVINGS
Complex medical issues & co-morbidities
Complex hospital discharge requirements
Complex social issues
"Case Management is a collaborative process of assessment, planning, facilitation, care coordination, evaluation & advocacy for options and services to meet an individual’s and family’s comprehensive health needs through communication & available resources to promote patient safety, quality of care, & cost effective outcomes.”  
CMSA 2016 Standards of Practice
The Continuum of Health Care and Professional Case Management model ( CMSA, 2016 )
SPECIALTY CASE MANAGEMENT PROGRAMS
Oncology
Management

Maternity
​Management

Transplant
Managemen
t
Chronic Kidney Disease Management
Behavioral Health
​Management