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Disease Management Dimensions Volume II: Population Served
Disease Management Dimensions Volume II: Population Served
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Disease Management Dimensions, Volume II: Population Served

For many employers and health plans, disease management (DM) initiatives have proven to be worth their weight in improved health outcomes, healthcare quality, patient and provider satisfaction and financial outcomes for populations with congestive heart failure, diabetes, coronary artery disease, chronic obstructive pulmonary disease, end-stage renal disease, asthma, obesity, and other chronic illnesses.

The Healthcare Intelligence Network monitors DM initiatives and has released its Disease Management Dimensions series, more than 550 pages of case studies, interviews and debates on the role of DM in the healthcare industry.

Volume II: Population Served provides an in-depth look at serving the unique needs of Medicare, Medicaid and underserved populations in disease management programs and how a targeted approach to these populations can yield to big payoffs in cost-savings and improved outcomes.

Save even more when you purchase the complete Disease Management Series. The entire series is just $797, a $1,608 savings!

Titles in Volume II: Population Served include:

  • The Medicaid Population: Making a Difference with Disease Management
  • Medicare Disease Management: Tactics to Improve Health, Education and Independence in an Aging Population
  • Delivering Disease Management to Medically Underserved Populations Plus 21 Strategies for Making and Keeping Contact with Hard-to-Reach Clients
  • Profitable Partnerships in Disease Management: Community Collaborations that Enhance Care Access and Outcomes

Available in print or as Adobe Acrobat PDF files on CD-ROM.

The Medicaid Population: Making a Difference with Disease Management

With 60 percent of adult Medicaid enrollees afflicted with a chronic or disabling condition (most commonly diabetes, hypertension, asthma, psychoses and chronic depression), and nearly half this group suffering from a second condition, this population is in critical need of a healthy dose of disease management (DM), healthcare industry experts say. The number of DM programs serving Medicaid populations continues to rise as states look to these programs to control Medicaid cost increases. In this 46-page special report, "The Medicaid Population: Making a Difference with Disease Management," based on a recent audio conference, expert speakers delve into Medicaid concerns ranging from eligibility and patient engagement to marketing strategies and provider connections as they explain how DM programs can integrate and improve care for those in need. You'll hear from Jerry Kiplinger, executive director, APS Healthcare and Herb Schultz, vice president, government account management, McKesson Health Solutions, on how to serve the unique needs of the Medicaid population in disease management programs. Regularly $127 save 35% when you order the whole series.

Medicare Disease Management: Tactics to Improve Health, Education and Independence in an Aging Population This 41-page special report highlights challenges and opportunities in working with the Medicare population, strategies to close gaps in care, and steps for sustaining system change and improved outcomes within senior care communities. Report contributors Blake Andersen, president, Chronic Care Group, Health Sciences Institute, Pamela Fromelt, vice president of government programs, LifeMasters Inc. and Dr. Randall Krakauer, national medical director, retiree markets, Aetna, provide inside details on how disease management programs can serve the needs of Medicare beneficiaries with chronic conditions to improve their health status, while reducing spending on these conditions. Regularly $127 save 35% when you order the whole series.

Economic barriers, cultural and/or linguistic access barriers to primary medical care services and a growing number of un- and underinsured are swelling the ranks of the medically underserved.

Successful and ongoing delivery of healthcare to these individuals can be hindered by their outdated contact information, chronic disease exacerbated by mental illness and frequently transient nature.

However, many organizations are rising to these challenges, employing novel methods to make contact with Medicaid and Medicare beneficiaries, the categorically needy and others and engage them in successful disease management (DM) programs.

Their success stories, suggestions and lessons learned are contained in this 46-page special report, "Delivering Disease Management to Medically Underserved Populations Plus 21 Strategies for Making and Keeping Contact with Hard-to-Reach Clients."

Against a backdrop of DM initiatives for the medically underserved in place at APS Healthcare, Vermont Health Access and Horizon NJ Health, there are also 21 concrete strategies for the identification and engagement of elusive clients and patients.

Contributing presenters include Philip M. Bonaparte, M.D., chief medical officer with Horizon NJ Health; David Hunsaker, president of public programs with APS Healthcare; Caryn Jacobi, R.N., associate vice president of operations for Illinois, McKesson Health Solutions; and Elizabeth Reardon, M.P.H., managed care director of Vermont Health Access. They share real-life case studies to illustrate how out-of-the-box thinking, community collaborations, and multi-channel approaches to client identification are yielding positive results in health outcomes and cost containment.

Additionally, HIN's 2007 non-scientific online survey on this topic yielded further contact strategies from more than 65 healthcare organizations. This report includes a summary of their suggestions for preventing medical complications and improving the overall health of medically underserved patients, members and clients.

You'll get details on:

  • Redefining DM for transient, hard-to-reach populations;
  • Improving program success with community, agency and provider partnerships;
  • Reducing unnecessary and repeat emergency room visits via case management;
  • Factoring behavioral health issues into the care plan;
  • Assessing clients' "readiness to change" and tips to encourage behavior modification and self-management;
  • Tapping technology and data mining to correct inaccurate or outdated contact information;
  • Launching disease-specific initiatives targeted to this population;
  • Implementing staffing, training and processes for optimal DM delivery; PLUS
  • 21 proven strategies from Horizon NJ Health and McKesson Health Solutions for connecting with elusive clients.

Profitable Partnerships in Disease Management: Community Collaborations that Enhance Care Access and Outcomes

It may take a village to raise a child, but disease management (DM) programs across the country are benefiting from partnerships with community resources that significantly enrich the breadth and quality of their initiatives. Taking a page from Ed Wagner's Chronic Care model, many DM organizations are teaming up with state programs, local agencies, schools, faith organizations, businesses and clubs to fill gaps in program offerings and coverage.

In many cases, these creative collaborations extend resources and budgets far beyond what the DM program could hope to accomplish on its own. In turn, those seeking to access healthcare find more solutions at their disposal.

"Profitable Partnerships in Disease Management: Community Collaborations that Enhance Care Access and Outcomes," offers tips for structuring partnerships and maximizing the benefits, overcoming the challenges community partnerships can present and evaluating the impact these collaborations can have on program effectiveness. This 35-page special report features case studies from two healthcare organizations that successfully collaborate with community resources to create more robust DM offerings, particularly for their Medicaid and Medicare members and patients.

This report also shares examples of other successful joint ventures, including the benefits of teaming up with schools and how a partnership has rounded out a depression DM program.

In "Profitable Partnerships in Disease Management: Community Collaborations that Enhance Care Access and Outcomes," HIN's contributing presenters Michelle Brooks, RN, MSN, administrator, regional health plans for Pitt County Memorial Hospital, University Health Systems of Eastern Carolina and Judith Szilagyi-Neary, clinical care manager at Ovations, a United Healthcare Company, detail each phase of partnership-building, providing examples and anecdotal evidence:

  • Why and how to partner;
  • Strategies for a successful collaboration;
  • Case studies of working partnerships;
  • Fostering the collaborative spirit;
  • Tapping schools, employers and other healthcare organizations for potential partnerships;
  • Special considerations for the Medicare and Medicaid populations;
  • and much more:

Discount only available on entire series.

Publication Date: 2007
Number of Pages: 175
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