The Mentor[R] Model: Care Management in the 21st Century (Patient Care‪)‬

Quality of care has become increasingly important over the last three decades, driven by the growth of managed care, increased customer expectations, changing demographics, intensified governmental regulation, the Balanced Budget Act and the Leapfrog Initiative. (1) New technologies and pharmaceuticals, coupled with the aging population, exert further pressure on providers to utilize costly resources in the most efficacious manner. With respect to inpatient care adjusted length of stay (ALOS), denials management and utilization management (UM) have grown to bellwether status for health care organizations tracking performance. (2)