G2TT
来源类型Report
规范类型报告
来源IDRR-393-AHIPF
Improving Care for Chronic Conditions: Current Practices and Future Trends in Health Plan Programs
Soeren Mattke; Tewodaj Mengistu; Lisa Klautzer; Elizabeth M. Sloss; Robert H. Brook
发表日期2015-06-03
出版年2015
页码125
语种英语
结论 Improving Care for Chronic Conditions: Current Practices and Future Trends in Health Plan Programs | RAND
摘要

The need for better management of chronic conditions is urgent. About 141 million people in the United States were living with one or more chronic conditions in 2010, and this number is projected to increase to 171 million by 2030. To address this challenge, many health plans have piloted and rolled out innovative approaches to improving care for their members with chronic conditions. This report documents the current range of chronic care management services, identifies best practices and industry trends, and examines factors in the plans' operating environment that limit their ability to optimize chronic care programs. The authors conducted telephone surveys with a representative sample of health plans and made in-depth case studies of six plans. All plans in the sample provide a wide range of products and services around chronic care, including wellness/lifestyle management programs for healthy members, disease management for members with common chronic conditions, and case management for high-risk members regardless of their underlying condition. Health plans view these programs as a "win-win" situation and believe that they improve care for their most vulnerable members and reduce cost of coverage. Plans are making their existing programs more patient-centric and are integrating disease and case management, and sometimes lifestyle management and behavioral health, into a consolidated chronic care management program, believing that this will increase patient engagement and prevent duplication of services and missed opportunities.

目录
  • Chapter One

    Introduction

  • Chapter Two

    Program Prevalence

  • Chapter Three

    Program Design

  • Chapter Four

    Member Interaction

  • Chapter Five

    Coordinating Plan and Provider Activities

  • Chapter Six

    Chronic Care Management Program Evaluation

  • Chapter Seven

    Challenges To Chronic Care Management Program Success

  • Chapter Eight

    Conclusions

  • Appendix A

    Detailed Results from Survey

  • Appendix B

    Case Studies

主题Chronic Diseases and Conditions ; Health and Wellness Promotion ; Health Care Quality ; Health Economics ; Managed Health Care
URLhttps://www.rand.org/pubs/research_reports/RR393.html
来源智库RAND Corporation (United States)
资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/522771
推荐引用方式
GB/T 7714
Soeren Mattke,Tewodaj Mengistu,Lisa Klautzer,et al. Improving Care for Chronic Conditions: Current Practices and Future Trends in Health Plan Programs. 2015.
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