Rural Case Management: Lowering Utilization and Healthcare Costs

Rural Case Management: Lowering Utilization and Healthcare Costs

Tuesday, March 10, 2026 2:15 PM to 3:15 PM · 1 hr. (US/Pacific)
Level 5 | Palazzo C
General Education
Business and Financial Management

Information

Rural communities face unique healthcare hurdles. This session unveils a blueprint for advancing community health in these underserved areas, focusing on a Primary Care Case Management model. This approach effectively targets non-clinical drivers of health at the community level, empowering rural hospitals to lead local care coordination and unlocking new funding streams for managing both clinical and non-clinical needs. This session will explore the lessons learned and interim findings from Missouri’s Transformation of Rural Community Health (ToRCH) pilot program, specifically designed to tackle the unique complexities of rural Medicaid populations. It will delve into the application of data-driven, community-based strategies to effectively manage chronic diseases, reduce disparities, and mitigate the impact of non-clinical drivers of health. Attendees will gain actionable insights and a clear roadmap for replicating this success to foster healthier, more resilient communities.

Format
Best Practice
Level
Intermediate
Topic
Value-Based and Outcomes-Driven Care Models
Target Audience
Healthcare Financial/Administrative ProfessionalPayerPopulation Health Management ProfessionalPublic Health Practitioner
Contact Hours
1.00
CEU Type
ACHEACPEASWBCAHIMSCMECNECPDHTSCPHIMSPMI/PDU
Learning Objective #1
Describe the structure and goals of Missouri’s Transformation of Rural Community Health (ToRCH) Primary Care Case Management model, including its focus on addressing non-medical drivers of health through hospital-led, community-based partnerships
Learning Objective #2
Analyze key interim outcomes from the ToRCH pilot, including referral resolution rates, utilization trends, and the role of Community Information Exchange (CIE) technology in streamlining cross-sector collaboration
Learning Objective #3
Identify practical strategies for implementing and scaling similar rural health models, including the use of incentive-based funding, hospital leadership, and data-driven evaluation to improve population health
Session #
49

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