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Making the most of data for disease management
The Quality Letter for Healthcare Leaders
|August 5, 1998
Summary
Managed care organizations can leverage administrative, claims, and clinical data to identify patients for cost-effective disease management. Health plans provide guidance on optimizing data utilization for targeted patient outreach and improved health outcomes.
Area of Science:
- Healthcare Management
- Health Informatics
- Population Health Management
Background:
- Managed care organizations possess extensive administrative, claims, and clinical datasets.
- These data resources hold potential for identifying patient populations amenable to disease management interventions.
Purpose of the Study:
- To highlight the value of existing data within managed care organizations.
- To guide health plans in utilizing data for effective disease management program targeting.
Main Methods:
- Analysis of administrative, claims, and clinical data.
- Identification of patient cohorts for disease management programs.
Main Results:
- Data analytics can pinpoint patients who would benefit from targeted disease management.
- Effective data utilization enables cost-effective program implementation.
Conclusions:
- Managed care organizations can optimize patient care through strategic data analysis.
- Leveraging comprehensive data is key to successful and cost-effective disease management programs.