| Autor: |
Bott DM; Centers for Medicare and Medicaid Services in Baltimore, Maryland, USA. david.bott@cms.hhs.gov, Kapp MC, Johnson LB, Magno LM |
| Jazyk: |
angličtina |
| Zdroj: |
Health affairs (Project Hope) [Health Aff (Millwood)] 2009 Jan-Feb; Vol. 28 (1), pp. 86-98. |
| DOI: |
10.1377/hlthaff.28.1.86 |
| Abstrakt: |
We summarize the Centers for Medicare and Medicaid Services' (CMS's) experience with disease management (DM) in fee-for-service Medicare. Since 1999, the CMS has conducted seven DM demonstrations involving some 300,000 beneficiaries in thirty-five programs. Programs include provider-based, third-party, and hybrid models. Reducing costs sufficient to cover program fees has proved particularly challenging. Final evaluations on twenty programs found three with evidence of quality improvement at or near budget-neutrality, net of fees. Interim monitoring covering at least twenty-one months on the remaining fifteen programs suggests that four are close to covering their fees. Characteristics of the traditional Medicare program present a challenge to these DM models. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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