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The Business Concept of Leader Pricing as Applied to Heart Failure Disease Management

机译：领导者定价的业务概念应用于心力衰竭疾病管理

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The implementation of a disease management approach for patients with heart failure has been promoted as a way to improve outcomes, including a decrease in hospitalizations. However, in the absence of rigorous cost analyses and with revenues limited by professional fees, heart failure disease management programs may appear to operate at a loss. The literature outlining the importance of disease management for patients with heart failure is summarized. We review the limitations of current cost analyses and outline the economic concepts of leader pricing, vertical integration and transaction costs to argue that heart failure disease management programs may provide significant "downstream" revenue for an integrated system of health care delivery in a fee-for-service payment structure, while reducing overall costs of care. Pilot data from a university-based program are used in support of this argument. In addition, the favorable impact on patient satisfaction and loyalty can enhance market share, a vital consideration for all health systems. Options for improving the reputation of heart failure disease management within a health system are suggested. Viewed as a loss leader, disease management provides not only quality care for patients with heart failure but also appears to provide financial benefits to the health system that funds the infrastructure and administration of the program. The actual magnitude of this benefit and the degree to which it mitigates overall administration costs requires further study.
机译：已经促进了针对心力衰竭患者的疾病管理方法的实施，以作为改善结果（包括减少住院）的一种方法。但是，在缺乏严格的成本分析且收入受到专业费用限制的情况下，心力衰竭疾病管理计划可能似乎无所适从。概述了概述疾病管理对心力衰竭患者的重要性的文献。我们回顾了当前成本分析的局限性，并概述了领导者定价，垂直整合和交易成本的经济概念，认为心力衰竭疾病管理计划可能会为收费的医疗服务集成系统提供可观的“下游”收入服务付款结构，同时降低总体护理成本。来自基于大学的程序的试验数据用于支持该论点。此外，对患者满意度和忠诚度的有利影响可以提高市场份额，这是所有卫生系统的重要考虑因素。建议在卫生系统中提高心力衰竭疾病管理声誉的选择。被视为损失的领导者，疾病管理不仅可以为心力衰竭患者提供优质的医疗服务，而且还可以为为该计划的基础设施和管理提供资金的卫生系统提供经济利益。这种收益的实际规模及其减轻整体管理成本的程度需要进一步研究。

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