• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Disease Management >Cost Savings for a Preferred Provider Organization Population with Multi-Condition Disease Management: Evaluating Program Impact Using Predictive Modeling with a Control Group
【24h】

Cost Savings for a Preferred Provider Organization Population with Multi-Condition Disease Management: Evaluating Program Impact Using Predictive Modeling with a Control Group

机译：具有多状况疾病管理的首选提供者组织人群的成本节省：使用预测模型与控制组评估计划影响

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Disease management programs have historically had difficulty demonstrating the financial value of their programs using statistically rigorous methods. This preliminary study utilized a predictive model built from a control group that consisted of individual employer groups whose benefits managers did not purchase disease management. The purpose of this evaluation was to examine the cost savings associated with Health Management Corporation's disease management program for asthma, diabetes, and coronary artery disease. Study and control group members were identified with exactly the same selection criteria as self-insured employer groups (n = 76,194) with preferred provider organization health plans that offered the disease management program. The study group consisted of members (n = 1,009) who were identified as having any of the three conditions and were eligible for the disease management program, regardless of the extent of their participation. The control group included members (n = 2,491) who were identified as having any of the same three conditions. The control group data were used to develop a predictive model designed to calculate expected medical claims costs for the study group. The gross savings of the disease management program was measured by calculating the difference between the expected medical claims costs predicted by the model and the actual medical claims costs for the study group. Preliminary analyses indicate that Health Management Corporation's disease management program produced a return on investment of $2.84∶ $1.00 and $1.45 gross savings per member per month.
机译：疾病管理计划历来难以用统计学上严格的方法来证明其计划的财务价值。这项初步研究使用了一个预测模型，该模型是根据一个对照组建立的，该对照组由各个雇主组组成，其福利经理没有购买疾病管理。评估的目的是检查与健康管理公司针对哮喘，糖尿病和冠状动脉疾病的疾病管理计划相关的成本节省。研究组和对照组的甄选标准与自保雇主组（n = 76194）完全相同，甄选标准与提供疾病管理计划的首选提供者组织健康计划相同。研究组由成员（n = 1,009）组成，这些成员被确定具有三种疾病中的任何一种，并且有资格参加疾病管理计划，无论其参与程度如何。对照组包括成员（n = 2,491），他们被确定具有相同的三个条件。对照组数据用于建立预测模型，该模型设计用于计算研究组的预期医疗索赔费用。通过计算模型预测的预期医疗索赔费用与研究组的实际医疗索赔费用之间的差额来衡量疾病管理计划的总节省额。初步分析表明，Health Management Corporation的疾病管理计划产生的投资回报为$ 2.84∶ $ 1.00和每位成员每月节省1.45美元。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号