Disease-Based Programs as Solutions to Population Health: New Article by MedAxiom Consultants

Anne Beekman and Ginger Biesbrock write on creating well-designed and fiscally sound programs for purposeful growth for latest issue of Cardiac Interventions Today magazine.

News | Published: Monday, October 24, 2016 4:30 am

by MedAxiom

Disease-based programs grew in momentum in the 1990s as a tool to improve care for patients with chronic disease while identifying and reducing high-cost and low-value care events. Usually, disease-based programs are focused on how to keep people healthy and out of the hospital; it may not always be “top of mind” to think about disease programs as a means of program growth and stability. It is helpful to understand the basic goals of a chronic disease program in order to connect the potential impact on program growth and clinical benefits.

DISEASE-BASED PROGRAMS

Chronic disease programs develop by identifying the following measures:

  • Definition of disease—inclusion criteria
  • Financial impact—cost per beneficiary
  • Pattern of use—frequency of high-cost events, admissions, and emergency department (ED) visits
  • Demographic area—age, sex, and economic status
  • Intended benefit impact—achieved with care paths and practice standards

There are many disease-based programs currently operating; in order to highlight the link between a disease-based program and new program growth, this article focuses on heart failure. Heart failure disease programs have been an early focus for cardiology due to value-based readmission penalties and rewards. Although other disease-based programs were developed, heart failure was unique in that the financial impact of reducing high-cost readmissions was a proven result. It could be argued that even without the prompting of value-based purchasing, the heart failure patient population was a prime candidate for disease management due to the high volume, high cost, and variation in treatment that existed. For many, it seems intuitive that a heart failure disease-based program would be a critical part of population health management. But how does a disease program affect growth, and potentially, cardiovascular procedures?

Learn how by reading the full article here:

http://citoday.com/2016/10/disease-based-programs-as-solutions-to-population-health/

 

 

 

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