Payment, Case Management Function

The American Academy of Family Physicians supports separate payment for the case manager services provided by family physicians and their practices. Case management services include the management and coordination of complex medical cases to ensure quality and efficient use of health care resources. The New Model of family medicine anticipates that family physicians and their clinical staff will commonly provide such services. Family physicians already utilize their office nurses for coordination of services for their patients and assuring that appropriate testing and medication compliance occurs in a patient’s treatment plan. Thus, the American Academy of Family Physicians believes that health care delivery and payment systems that use or contract for case management services should pay family physicians appropriately for these services.

(1987) (2006)