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Managed Care
April 2006
Maureen Glabman |
'Take My Word for It': The Enduring Dispute Over Measuring DM's Economic Value While disease management is now mainstream, it can still be difficult to judge a program's worth. Health plans faced with renewing these contracts have a lot to think about.   |
Managed Care
December 2001 |
Disease Management Outsourcing As DM shifts its focus to outcomes-based care, the EVP of American Healthways suggests that larger health plans consider outsourcing care of chronic patients. |
Managed Care
June 2006 |
Opinions on DM Outcomes Can Be Swayed An exercise in "point-counterpoint" at a recent disease management meeting showed dramatic swings in views. This shows the managed care industry that there is a great need for civil, structured discussion and honest and respectful public debate of the important issues facing DM. |
Managed Care
August 2005
Maureen Glabman |
12 DM Trends You Should Know About The government joins health plans, providers, employers, and pharmaceutical companies in seeking to establish disease management's value |
Managed Care
November 2000
John Carroll |
Health Plans Demand Proof That DM Saves Them Money Can disease management vendors really show a strong return on a health plan's investment, or are the data just too malleable to be useful? |
Managed Care
September 2005 |
There's Now a Correct Method For Defining ROI in Disease Management Health care consultant Al Lewis, the godfather of disease management, talks about how the industry went wrong, and is now going right, in describing its own value to health plans, public employers, and the government. |
Managed Care
March 2002
John Carroll |
DM Vendors Start To Address Costs Created by Comorbidities Some vendors are moving from offering just a few programs to embracing systems that try to deal with all the complicated overlaps... |
Managed Care
November 2004
Frank Diamond |
DM's Cost-Effectiveness Doubted in CBO Report Congress's financial review agency says that not enough evidence exists to prove that disease management saves money. Many beg to differ. |
Managed Care
June 2003
Alison Johnson |
Measuring DM's Net Effect Is Harder Than You Might Think Disease management is God's gift to managed care. Or is it? Here is a discussion of areas that make evaluating a DM program a complex, if not ineffable, proposition. |
Managed Care
September 2005 |
New Research Throws Doubt On DM's Cost-Effectiveness Health plans and other providers of disease management services might do better to emphasize the pursuit of better outcomes, rather than guaranteed savings, a new study implies. |
Managed Care
September 2005
John Carroll |
DM Industry Confident It Can Hit Medicare Goals Though there are challenges to serving the elderly, the movers and shakers of disease management say that they should be able to cut costs in pilot populations by 5%. |
BusinessWeek
February 4, 2010
Terhune & Weintraub |
Take Your Meds, Exercise -- and Spend Billions Washington wants to pump big money into so-called disease management, though there's scant evidence that it works. |
Managed Care
November 1999
Arthur L. Baldwin III |
Financial and Risk Considerations for Successful Disease Management Programs Results for disease management programs have not been as positive as hoped because of clinical issues, lack of access to capital, and administrative issues.... |
Managed Care
March 2006 |
Headlines On Deadline . . . No less than measuring and evaluating outcomes in disease management programs is the goal of a new program... Germany's Chancellor says she admires the managed care system in the U.S... President Bush wants most Americans to have electronic medical records by 2014... etc. |
Managed Care
September 2004
John Carroll |
Pfizer: DM Did Not Fizzle In Florida Medicaid Ruckus Medicaid officials close the books on a program the pharmaceutical giant contends that soon-to-be-released data will verify its disease management program's effectiveness. |
Managed Care
June 2002
John Carroll |
DM and Medicare: A Marriage Made in Heaven? With a budget of about $230 billion for 40 million patients, many with chronic ailments, is it any wonder that disease management and Medicare are courting? |
Managed Care
October 2004
John Carroll |
DM Industry Jumps for Joy Over Medicare's Leap of Faith The Center for Medicare and Medicaid Services has implemented 10 pilot programs that may very well be viewed as a make-or-break test for disease management. |
Managed Care
May 2001
John Carroll |
Two Accrediting Organizations Prepare To Issue DM Standards It's probable that one will become the dominant judge: NCQA or URAC. After it happens, will vendors undergo less scrutiny by individual plans? |
Managed Care
January 2001
John Carroll |
Florida Leads the Way in Attempting Disease Management for Medicaid Officials across the country are watching to see whether the Sunshine State's innovation can save money... |
Managed Care
May 2004
Frank Diamond |
Care Coordination Strikes Right Chord Care coordination -- which, for the purposes of this article, means optimal management of people with multiple chronic diseases to improve outcomes and cut costs -- just suddenly seems a lot more doable. The thing that may make care coordination work this time, is technology. |
Managed Care
November 2003
Gold & Kongstvedt |
How Broadening Disease Management's Focus Helped Shrink One Plan's Costs Blue Cross and Blue Shield of Minnesota and American Healthways score a hat trick by improving outcomes and satisfaction while saving money. |
Managed Care
September 2000
John Carroll |
Mergers, Acquisitions Afoot In Disease Management Industry Within a few years, there may be only 30 DM companies left, says one expert. HMO customers want vendors to handle more than one condition... |
Managed Care
November 1999
Al Lewis |
Irresistible Force Called DM Facing Some Immovable Objects Disease Management |
Managed Care
September 2001
Michael D. Dalzell |
Where Will Health Plans Find The Next Generation of Savings? The industry realizes that it needs to get creative -- or perish, at least in the form it has taken. Employers won't stand long for double-digit premium hikes. With much of the fat already wrung out of care delivery, where will health plans find that next generation of cost savings? |
Managed Care
May 2004 |
'Random Gifts of Information' Should Never be Ignored The CMO of Blue Cross and Blue Shield of Minnesota is hopeful that the goal of true population management is near. |
Managed Care
July 2001
Charles Downey |
Disease Management Uses Web To Net Savings More vendors are turning to the Internet to expand the reach of programs. Cutting-edge technology helps patients help themselves... |
Managed Care
July 2000 |
NCQA To Accredit DM Programs, HEDIS Software The National Committee for Quality Assurance will soon offer its blessing to disease management programs. NCQA is developing a DM certification program intended to recognize regimens that effectively manage chronic illnesses. The program will go live next year. |
