Which group is often targeted for case management due to high medical costs?

Prepare for the HCQM Case Management Test. Study with interactive flashcards and multiple-choice questions, each with detailed hints and explanations. Ace your exam confidently!

Patients with chronic conditions are often targeted for case management due to the elevated medical costs associated with their ongoing care needs. Chronic conditions, such as diabetes, heart disease, and asthma, typically require regular medical attention, medications, and sometimes specialized treatments. This continuous need for healthcare can lead to increased hospitalizations, emergency room visits, and overall higher healthcare expenditure.

Effective case management for these patients focuses on coordinating care, educating them about disease management, and facilitating access to necessary resources and services, which ultimately aims to improve health outcomes and reduce costs. By addressing the needs of individuals with chronic conditions, case management can help mitigate the financial burden on both patients and the healthcare system as a whole.

Other groups, such as those with high levels of education, stable mental health, or low insurance coverage, do not typically account for the same levels of ongoing medical expenses, making them less of a target for case management services focused on high medical costs.

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