全球智库信息集成服务系统(G2TT): Evaluation of Medicare Disease Management Programs: LifeMasters Final Report of Findings

G2TT

来源类型	Publication
	Evaluation of Medicare Disease Management Programs: LifeMasters Final Report of Findings
	Dominick Esposito; Kate A. Stewart; and Randall Brown
发表日期	2008-10-31
出版者	Princeton, NJ: Mathematica Policy Research
出版年	2008
语种	英语
概述	From January 2005 to December 2007, the Centers for Medicare \u0026 Medicaid Services (CMS) sponsored a population-based disease management demonstration program implemented by LifeMasters Supported SelfCare (LifeMasters).",
摘要	From January 2005 to December 2007, the Centers for Medicare & Medicaid Services (CMS) sponsored a population-based disease management demonstration program implemented by LifeMasters Supported SelfCare (LifeMasters). The program targeted Medicare fee-for-service beneficiaries who were dually enrolled in Medicaid (dual eligibles); resided in Florida; and had congestive heart failure (CHF), coronary artery disease (CAD), diabetes, or a combination of the three. LifeMasters only enrolled beneficiaries from 11 Florida counties: Alachua, Brevard, Broward, Duval, Lake, Marion, Miami-Dade, Orange, Palm Beach, Seminole, and Volusia. The ultimate goals of the program were to improve beneficiaries’ health and quality of care while reducing their Part A and Part B Medicare expenditures, primarily through reduced need for hospitalizations and emergency room use, and elimination of duplicative services. CMS paid LifeMasters a monthly, fixed management fee for all patients actively participating in the program, and it was required to be budget neutral. That is, cost savings to Medicare from reduced expenditures were required to offset the fees paid to LifeMasters. If they did not, LifeMasters was required to repay CMS for any net loss, up to the full amount of its fees. If net savings were generated, the savings would be shared between LifeMasters and CMS. The population-based design of the demonstration meant that cost savings were calculated on an intent-to-treat basis over all patients meeting the demonstration eligibility criteria and selected for the study, not simply those who chose to participate.
URL	https://www.mathematica.org/our-publications-and-findings/publications/evaluation-of-medicare-disease-management-programs-lifemasters-final-report-of-findings
来源智库	Mathematica Policy Research (United States)
资源类型	智库出版物
条目标识符	http://119.78.100.153/handle/2XGU8XDN/486046
推荐引用方式 GB/T 7714	Dominick Esposito,Kate A. Stewart,and Randall Brown. Evaluation of Medicare Disease Management Programs: LifeMasters Final Report of Findings. 2008.