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Related Concept Videos

Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
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Methods Of Healthcare Delivery System

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Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease
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A generic model for evaluating payor net cost savings from a disease management program.

Niccie L McKay1

  • 1Department of Health Services Research, Management and Policy, University of Florida, Gainesville, Florida, USA.

Journal of Health Care Finance
|November 4, 2008
PubMed
Summary

This study introduces a model to assess cost savings from disease management programs. It helps evaluate program effectiveness for healthcare payors by analyzing expenditures and operational costs.

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Area of Science:

  • Health Economics
  • Healthcare Management
  • Public Health

Background:

  • Payors increasingly use disease management programs to enhance care quality and control costs.
  • Effective evaluation of these programs is crucial for resource allocation and demonstrating value.

Purpose of the Study:

  • To present a generic model for evaluating payor net cost savings from disease management programs.
  • To provide a framework for calculating savings, considering both expenditure changes and program costs.

Main Methods:

  • The model specifies data requirements and outlines data collection processes.
  • Net cost savings are calculated using a spreadsheet-based approach.
  • A hypothetical example demonstrates the model's application.

Main Results:

  • The model enables comprehensive assessment of financial impact of disease management initiatives.
  • It accounts for direct and indirect costs associated with program implementation and operation.

Conclusions:

  • The developed model offers a standardized method for payors to evaluate the financial viability of disease management programs.
  • This facilitates informed decision-making regarding investment in programs aimed at improving patient outcomes and controlling healthcare spending.