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Sixty percent of American adults live with at least one chronic condition, and 12% with five or more. They spend exponentially more on healthcare than those without any chronic conditions. For instance, 32% of adults with five or more chronic conditions make at least one ER visit each year. On top of that, 24% have at least one inpatient stay, in addition to an average of 20 outpatient visits — up to 10 times more than those without chronic conditions. In fact, 90% of America’s $4 trillion healthcare expenditures are for people with chronic and mental health conditions, according to the Centers for Disease Control and Prevention (CDC).

The fundamental way healthcare organizations reduce these costs, improve patient experience and ensure better population health is through care management. 

In short, care management refers to the collection of services and activities that help patients with chronic conditions manage their health. Care managers proactively reach out to patients under their care and offer preventative interventions to reduce hospital ER a...