Understanding outcomes in complex transplant case management
Complex organ transplants involve multiple phases of care, intensive clinical oversight and extended recovery periods. Coordination across the transplant journey plays a critical role in influencing utilization, cost and patient outcomes.
This white paper examines commercially insured adults who underwent complex transplants between 2020 and 2024, comparing outcomes for members who engaged in structured transplant case management with those who did not.
Using claims and case management data, the analysis evaluates differences in total cost of care, inpatient bed days and one-year clinical outcomes, offering insight into the value of longitudinal, nurse-led case management for complex transplant populations.