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Medical Management (MM)

Date of Publication:

4/9/2013

Definition:

An integrated managed care model that promotes utilization management UM, clinical case management (CM), and disease management (DM) programs as a hybrid approach to managing patient care. It includes a shift to evidenced-based outcome-oriented utilization management (UM), and a greater emphasis on integrating clinical practice guidelines (CPG) into the medical management (MM) process, thereby holding the system accountable for patient outcomes.

Source of Definition:

Medical Management (MM) Programs in the Direct Care System (DCS) and Remote Areas

Last Updated: December 05, 2018
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