Disease Management For Chronically Ill Beneficiaries In Traditional Medicare

被引：50

作者：

Bott, David M. ^{[1
]}

Kapp, Mary C. ^{[1
]}

Johnson, Lorraine B. ^{[1
]}

Magno, Linda M.

机构：

[1] Ctr Medicare & Medicaid Serv CMS, Baltimore, MD USA

来源：

HEALTH AFFAIRS | 2009年 / 28卷 / 01期

关键词：

CARE;

D O I：

10.1377/hlthaff.28.1.86

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

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. [Health Affairs 28, no. 1 (2009): 86-98; 10.1377/hlthaff.28.1.86]

引用

页码：86 / 98

页数：13

共 19 条

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