The U.S. healthcare debate has led to some serious re-thinking on behalf of the health plans, physicians and hospitals on the management of the chronically ill, who by 2011 will make up 60% of the Medicare Advantage population. This will create a significant financial challenge.To combat this and curb hospital readmissions, plans need to start now with a strong business case for medical management that is grounded in such as Evidence-based clinical practices, Predictive outcomes modeling, Member engagement, Multi-disciplinary professional collaboration