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Disease management program saves $850 PMPM for CHF seniors enrolled in Medicare risk
Public Sector Contracting Report : the Monthly Guide to Medicare and Medicaid Managed Care
|January 7, 1998
Insights
Humana
Area of Science:
- Gerontology
- Cardiology
- Health Services Research
Background:
- Congestive heart failure (CHF) poses significant challenges for senior patient care and healthcare costs.
- Effective disease management programs are crucial for improving outcomes and reducing resource utilization in CHF patients.
Purpose of the Study:
- To evaluate the impact of a CHF disease management program on patient outcomes and healthcare costs.
- To demonstrate the effectiveness of Humana Inc.'s program in managing CHF in a senior population.
Main Methods:
- The study involved 1,900 seniors with congestive heart failure enrolled in a specific disease management program.
- The program focused on proactive monitoring and intervention, including phone-based patient contact.
Main Results:
- The CHF disease management program led to improved care and outcomes for 1,900 seniors.
- Significant reductions in healthcare utilization and substantial cost savings were achieved, amounting to $850 per member per month (PMPM) for the Medicare plan.
Conclusions:
- Proactive, phone-based monitoring is a vital component of successful congestive heart failure disease management.
- This program demonstrates a cost-effective approach to improving the health of seniors with CHF, saving millions for Medicare plans.
Abstract:
Chf disease management saves medicare plan $850 pmpm: Humana Inc. has improved the care and outcomes of 1,900 seniors with congestive heart failure--plus slashed utilization and saved millions. Here are the details on how the program works and why monitoring CHF patients by phone is so important.