Trends in Case Management Acuity Determination

The purpose of this article is to examine the concept of case management acuity in the private sector and health insurance industry. In the era of the Affordable Care Act, case management practices across many sectors in the health care system are in a state of flux. In order to understand the context of current practices, a brief review of the various dimensions and definitions related to case management is described. The concept of acuity will be defined and relevant trends in predictive modeling examined. The discussion section will integrate the findings from the literature as well as current and evolving practices in the health insurance sector.