Infographic: Insights from Strata Health’s 2024 Case Management Survey

Background 

In October 2024, Strata Health conducted its second annual case management survey, which aimed to uncover the challenges facing professionals in transitions of care. The survey gathered insights from 175 respondents, shedding light on what has changed—and what has stayed the same—over the past year in this critical area. 

Key Findings:  The Challenges Persist 

While the survey revealed important insights into the challenges case managers continue to face, not much has changed since the previous year. Coordinating care for individuals with complex needs remains the most significant challenge, as reported by 85% of respondents. Staff shortages and burnout are also ongoing issues, with 50% citing them as the second most significant barrier. 

So, what has changed? One notable shift is that navigating evolving healthcare regulations has become a slightly more prominent concern. In 2024, 37% of respondents identified regulatory changes as a major challenge—up 4% from 2023—making it the third-largest hurdle in managing transitions of care. 

CMS Compliance:  A Knowledge Gap 

A concerning trend from the survey is the lack of confidence in understanding and complying with CMS Conditions of Participation (CoPs). Just 15% of respondents expressed full confidence in their understanding of these regulations, and nearly half reported difficulty keeping up with the constantly evolving rules. Alarmingly, 25% were unsure whether their processes fully align with CMS CoPs. This gap in knowledge and infrastructure creates a risk for inconsistent and incomplete management of patients as they transition through the healthcare system. 

Technology:  A Stumbling Block for Transitions of Care 

The 2024 survey also underscored the role of technology—or the lack thereof—in easing the burden on case managers. A significant number of case managers are still relying on manual processes that should ideally be automated. Notably, 22% of respondents cited unreliable digital tools as a daily frustration. Additionally, 37% expressed dissatisfaction with the technology currently available to manage transitions of care. This raises the question: how much of this frustration contributes to the growing issue of staff turnover? 

Conclusion: The Need for Change 

The costs of poor transitions of care are well understood, but it’s clear that solutions have yet to reach those working on the front lines. Change must start here, with practical solutions that directly address the challenges case managers face daily. In early 2024, the ACMA introduced TOC 2.0, which outlines five key standards designed to help stakeholders streamline care coordination and assess its effectiveness. Within each standard lies an opportunity for technology to play a role—simplifying processes, improving outcomes, and offering customizable solutions for healthcare teams. 

Strata Health is committed to addressing these ongoing challenges by providing a comprehensive, tech-driven solution that supports smoother transitions of care and empowers the professionals who make it possible. 

For more information, see the ACMA’s “Transitions of Care 2.0, Social Determinants of Health: Revised Criteria” (2025) here.