THE EVIDENCE
Why Care
Management Matters
Better coordination. Healthier patients. Stronger systems.
IDENTIFIES
RISK
DELIVERS
SOLUTIONS
Technology alone isn’t the solution.
The strongest results come from combining the right tools with clinical expertise and operational experience to turn insight into action.
The Evidence
Recent research and national programs demonstrate that strong care management can improve outcomes
and reduce avoidable utilization across a variety of care settings.
$2.5 BillionIN MEDICARE SAVINGSMedicare Shared Savings ProgramLower hospital, ED and SNF utilization
In 2024, Medicare Shared Savings Program ACOs generated approximately $2.5 billion in net savings to Medicare. Successful ACOs also demonstrated lower hospital discharges, emergency department visits, and skilled nursing facility utilization.
Centers for Medicare & Medicaid Services
Medicare Shared Savings Program
2024 Performance Results
22–55%FEWER READMISSIONSTransitional Care InterventionsSignificant reduction in hospital readmissions
A 2023 systematic review and network meta-analysis compared transitional care with usual care. Low-complexity interventions were associated with 22% lower odds of readmission at 30 days (OR 0.78; 95% CI 0.66–0.92) and 55% lower odds at 180 days (OR 0.45; 95% CI 0.30–0.66).
The range reflects separate follow-up periods, not a single pooled effect. These are reductions in odds, rather than absolute readmission rates. Results varied by intervention complexity and outcome.
Tyler et al. · JAMA Network Open, 2023 ↗17–28%LOWER READMISSION RATESTechnology-Enabled CareLower 30- and 90-day readmissions
A 2025 systematic review and meta-analysis evaluated electronic health record–based interventions, including telemonitoring, case management, and medication reconciliation. Compared with controls, the pooled odds of all-cause readmission were 17% lower at 30 days (OR 0.83; 95% CI 0.70–0.99) and 28% lower at 90 days (OR 0.72; 95% CI 0.54–0.96).
The full review included 204,523 participants; the 30-day analysis included 41 trials with 181,392 participants. Variation across studies was substantial, and the findings apply to technology-supported care interventions rather than software alone.
Pattar et al. · JAMA Network Open, 2025 ↗$200 Million+IN NET SAVINGSAddressing Social NeedsReduced avoidable hospitalizations and ED use
The final evaluation of CMS’s Accountable Health Communities Model reported over $200 million in net savings. More than 1.1 million Medicare and Medicaid beneficiaries were screened for housing, food, transportation, utility, and interpersonal safety needs.
The model connected higher-risk beneficiaries with community resources through referrals and navigation. Lower use of avoidable hospitalizations and emergency department visits drove savings; results varied by payer and model track.
CMS · Accountable Health Communities final findings, 2026 ↗$800 Million+IN EPISODE SAVINGSBetter Episode ManagementLower spending per episode
CMS’s final evaluation estimated about $800 million in net Medicare savings across the eight model years of Bundled Payments for Care Improvement Advanced. The model reached 1.8 million patients and held participants accountable for spending and quality across defined episodes of care.
Episode expenditure reductions exceeded net reconciliation payments to participants. Savings were greatest in 2021–2023 after model design changes; early model years included net losses for medical episodes.
CMS · BPCI Advanced final evaluation, 2026 ↗