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Healthcare organizations across the country are slashing unnecessary utilization and costs, increasing patient satisfaction, and improving health behaviors and outcomes. How? With disease management programs targeted at high-cost, chronic illnesses.

Disease Management: Successful Strategies & Programs is chock-full of detailed case studies; practical advice on developing and implementing your programs; valuable data on costs, utilization, and outcomes; and tools such as pathways, assessment forms, guidelines, checklists, and more.

Take a look at the articles included in the three sections of this book to see the comprehensive information you’ll receive:

I: Program Development Strategies

• Developing and marketing your disease management programs to managed care payers
• Form multidisciplinary disease management teams to improve quality, patient service, and cost efficiency
• Develop specialist gatekeeper model to cut demand among chronically ill
• Develop end-of-life care program to improve quality of life, reduce demand

II: Contracting Strategies

• Success with capitated disease management begins at negotiating table
• Contracting your disease management cases: Finding the data you need
• Reduce risk by using active capitation model focusing on specific disease states
• Reduce financial exposure by focusing on high-cost, chronically ill patients while spreading risk among all members
• Providing care for AIDS patients: Should you capitate or not?
• Providing capitated care for AIDS patients: How one provider reduces risk
• Carving out oncology disease management
• Determining monthly treatment costs of chronic diseases among elderly
• Should your organization enter a capitated disease management contract with a pharmaceutical firm?

III: Model Disease Management Programs

• Model AIDS disease management program stresses early home care
• Disease management programs for HIV/AIDS patients take long-term approach
• Complementary therapies control pain, ease symptoms of HIV/AIDS
• Arthritis program uses patient-physician teams to deliver educational message
• Health plan uses education, treatment protocols to reduce pediatric asthma costs and improve care
• Asthma disease management program reduces utilization
• Cystic fibrosis disease management program focuses on enhancement of self-care skills
• Diabetes program tests new model of behavior change
• Program targets adult-onset diabetes among Mexican-Americans
• Pfizer, American Diabetes Association spearhead new Diabetes Control Network
• Specialty intervention teams reduce diabetic hospitalizations
• Diabetes disease management program slashes hospital admissions
• Diabetes software aids patient self-care, disease management
• LEAP program promotes self care, reduces incidence of lower extremity amputations
• Congestive heart failure program yields significant clinical and cost benefits
• Heart disease program promotes lifestyle modification, reduces surgeries
• Hemophilia program standardizes care, reduces costs
• Treating obesity from a disease management perspective
• Breast cancer disease management programs focus on prevention, treatment, patient empowerment
• Interactive video program empowers breast cancer patients to make informed decisions
• Interactive computer system informs, educates breast cancer patients
• Outpatient bone marrow transplant program reduces LOS, costs
• Holistic approach to managing ESRD patients focuses on early intervention, home care
• ‘Brain Attack’ program combines community education, clinical studies to combat stroke

With Disease Management: Successful Strategies & Programs, your organization will benefit from the experience of health providers and plans that already have successful disease management programs in place.

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