Which reimbursement model is commonly associated with case management?

Prepare for the HCQM Case Management Test. Study with flashcards and multiple choice questions, each question has hints and explanations. Get ready for your exam!

The reimbursement model that is commonly associated with case management is fee for service. This model allows healthcare providers to be reimbursed for each service or procedure performed, creating a direct correlation between the services offered and the payment received. In case management, this approach can incentivize providers to offer a range of services tailored to individual patients' needs, as they gain compensation for each interaction, intervention, and the overall management of the patient's care.

This model can serve as an effective motivator for case managers to engage comprehensively in their patients' healthcare journey, as it aligns financial incentives with the goal of providing necessary medical assistance. It is especially prevalent in settings where case managers coordinate multiple facets of care, ensuring that all aspects of a patient's treatment are covered and attended to for optimal outcomes.

Other reimbursement models mentioned, such as hourly billing, may limit the flexibility and outcomes due to the focus on time rather than the value and effectiveness of care provided. Per case reimbursement typically applies to specific instances rather than an ongoing spectrum of care coordination, while subscription service models are not commonly used in traditional healthcare settings, particularly in case management contexts.

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