Complex Care Managment Program
The complex care management services assist Michigan Medicine providers in delivering comprehensive services to high need, high utilizing, and low income patients with complex medical, mental health, social, and physical resource needs. Following the Chronic Care Model, care managers partner with the providers and their office staff to:
- Provide between-visit assessment and follow-up, and implementation of care plans.
- Coordinate discharge follow-up to assure timely and appropriate care.
- Develop behavioral management plans with the Michigan Medicine Providers and facilitate their implementation.
- Ensure maximal use of available and appropriate insurance, medical, mental health, and physical resources by patients.