The proposed caseload requirements will seemingly increase the case managers' administrative tasks to include categorizing, justifying, and calculating caseload metrics, but at what cost?  What will be minimized is the case managers' ability to provide appropriate, consistent care to the individuals they serve and have established good working relationships.

Managing ratios will pose another problem - the varying weight of individual cases could cause frequent fluctuations forcing individuals to be reassigned to different case managers solely to meet the ratio requirement.  This would affect the individuals' preferences and consistency of working with those they have established trusted therapeutic relationships.  It takes time to establish this type of rapport and trust from individuals, and frequent transitions would negatively impact both engagement and outcomes.

Many of these proposed changes would deviate from individual person-centered care which seems to take us back instead of forward in terms of progress.

The proposed system creates a complex and cumbersome classification structure that is difficult to operationalize within existing electronic health record systems and risks diverting valuable time and resources away from direct care.

I agree with others in that it is still unclear why these changes are recommended or necessary.