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Beyond managed care.

Hospitals & Health Networks

|October 3, 2001

Summary

This summary is machine-generated.

Coordinated care, a blend of case and disease management, aims to improve health for chronically ill patients and reduce costs. This Centers for Medicare & Medicaid Services project shows potential beyond traditional managed care models.

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Area of Science:

Healthcare Management
Health Services Research
Chronic Disease Management

Background:

Health Maintenance Organizations (HMOs) are withdrawing from Medicare managed care programs.
The Centers for Medicare & Medicaid Services (CMS) is exploring alternative models to improve care and reduce costs.

Purpose of the Study:

To evaluate the effectiveness of a coordinated care model for chronically ill patients.
To demonstrate potential cost savings and health improvements compared to existing managed care approaches.

Main Methods:

Implementation of a demonstration project focused on coordinated care.
Integration of case management and disease management strategies.
Empowering patients with resources for active self-care management.

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Main Results:

The coordinated care model shows promise in enhancing patient health outcomes.
Potential for significant reduction in overall healthcare expenditures.
Positive patient engagement in managing their own health conditions.

Conclusions:

Coordinated care offers a viable alternative to traditional managed care for vulnerable populations.
This model can improve patient well-being and achieve greater cost-efficiency.
Further exploration of coordinated care is warranted within Medicare programs.