Disease Management

 

Disease Management and Population Health Fast Facts

 

Population Health Improvement
 

DMAA: The Care Continuum Alliance has framed the discussion of Population Health Improvement as follows: "Chronic diseases—diabetes, obesity, congestive heart failure, asthma and many others—affect millions of individuals worldwide and place a substantial burden on society through lost productivity and increased health care costs. Population health improvement empowers individuals, in concert with physicians and other care providers, to effectively manage disease and prevent complications through adherence to medication regimens, regular monitoring of vital signs and healthful diet, exercise and other lifestyle choices."

 

DMAA defines the population health improvement model as incorporating three components: "the central care delivery and leadership roles of the primary care physician; the critical importance of patient activation, involvement and personal responsibility; and the patient focus and capacity expansion of care coordination provided through wellness, disease and chronic care management programs. The convergence of these roles, resources and capabilities in the population health improvement model ensures higher levels of quality and satisfaction with care delivery. Further, coordination and integration are important tools to address health care workforce shortages, individual access to coverage and care, and affordability of care."
 

 

Overall Adult Population with Chronic Conditions:

Source: Statistical Brief #203: Health Care Expenses for Adults with Chronic Conditions, 2005. Medical Expenditure Panel Survey, AHRQ. Published May, 2008

 

Medicare Beneficiaries with Chronic Conditions:
 

 # Chronic Co- morbidities   % Pop.   Relative Cost (Per Pt.)   Est. % of Total Medicare Costs   Avg. # Unique MDs/Yr.   Avg. # Filled Rx / Yr. 
 5+   20%   3.2   66%   13.8   49 
 3-4   27%   .9   23%   7.3   26 
 0-2   53%   .1   11%   3.0   11 

Source: G. Anderson et. al., Johns Hopkins Univ. (Derived from Medicare claims and beneficiary surveys.)

Excerpted from presentation: Predictive Modeling in the Context of Healthcare Reform: Issues and Opportunities
Jonathan P. Weiner, DrPH, September 14, 2009, Third National Predictive Modeling Summit, Washington, DC

 

 

Medicaid Beneficiaries with Chronic Conditions:

Source: The Faces of Medicaid III: Refining the Portrait of People with Multiple Chronic Conditions
Center for Health Strategies, Inc. October 2009



Most Commonly Offered Disease Management Programs by Employers

 

Diabetes (pediatric & adult; types 1 & 2) 82%
Asthma 68%
Coronary Artery Disease 68%
Heart Failure 59%
Chronic Obstructive Pulmonary Disease 55%
Hypertension 55%
Depression/mental health 50%
Low back pain (chronic) 45%
High-risk maternity 32%
Oncology 27%
Osteoporosis 23%
Arthritis 18%
Atrial fibrillation 18%
Kidney disease management 18%
Low back pain (acute) 18%
Fibromyalgia 14%
Inflammatory bowel disease (IBD) 14%
Irritable bowel syndrome (IBS) 9%
Urinary incontinence 9%
Headache 5%
HIV/AIDS 5%

 

Source: DMAA. Publication: Employee Benefit News (benefitnews.com), January 2009.

 

 

 


 


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