|
Disease Management
• 27% of
individuals spend 85% of dollars
• 33% of expenses
for preventable conditions
• 50-60% of
hospital admissions due to chronic conditions
This is where the money is!
• Management
Reports to identify areas of concern
• Doctors and
Nurses interpret reports & give solutions
• Special Programs
& Individual attention for affected patients
• Assistance
in crafting plan documents that reward compliant patients
• Results in
form of Real Savings for Plan Sponsors
• Target conditions
for self-care efforts
• Avoid complications
from chronic illness
• Support &
Coordinate the physician/patient and plan of care & communication
• Use evidence-based
guidelines to enhance patient empowerment
• Evaluate clinical,
humanistic, and economic outcomes
Source: Disease Management
Association of America , 2001
| |
Diabetes
Year 1 |
Diabetes
Year 2 |
CHF
Year 1 |
| Program
Members |
57,498
|
34,945
|
1,328
|
| Total
Gross
Savings |
$42,515,906
|
$32,233,531
|
$9,112,415
|
| Management
Fees |
$17,249,275
|
$10,483,450
|
$1,992,000
|
| Total
Net
Savings |
$25,266,631
|
$21,750,081
|
$7,120,415
|
| Return
on
Investment
|
1.46
|
2.07
|
3.57
|
|
