State coalition targets CVD on a large scale

Area of Science:

• Healthcare Management
• Disease Management
• Case Management

Background:

• Healthcare Financing Administration (HCFA) sought demonstration sites for coordinated care.
• Programs were evaluated for clinical and financial outcomes.
• Focus on integrated care models.

Purpose of the Study:

• To assess the viability of a specific coordinated care site.
• To determine success in a mixed healthcare payment environment (managed care and fee-for-service).
• To demonstrate effective disease and case management strategies.

Main Methods:

• Site selection based on potential for positive clinical and financial results.
• Implementation of a coordinated care model.
• Evaluation of performance under mixed payment systems.

Main Results:

• The selected site aims to demonstrate program success.
• Focus on thriving within a blend of managed care and fee-for-service.
• Evidence of positive clinical and financial outcomes is anticipated.

Conclusions:

• The coordinated care site is positioned to prove its effectiveness.
• The model shows promise for success in diverse healthcare payment structures.
• Successful integration of disease and case management is key.