Advanced Search

Medicare Risk Plans and Disease Management Vendors: Present and Future Relationships

Contents:

Author Info

  • Sam Forman

    (StatusOne Health Systems, Hopkinton, Massachusetts, USA)

Registered author(s):

    Abstract

    Although Medicare risk plans have been withdrawn in a number of US geographical areas, the size and dollar value associated with the senior demographic group is too large for health plans to ignore. Unlike other developed nations, the US government offers to Medicare-eligible citizens a choice between payment methods for health services. The fee-for-service reimbursement system (Medicare Parts A and B) has been in effect for 30 years; capitated prepaid Medicare risk plans (Medicare+Choice), the subject of this article, are a more recent addition. Active discussion has emerged on how best to pursue disease management in the Medicare risk environment. Disease management must constructively address comorbidities and realise bottom-line medical management savings. With limited medical management resources and a requirement for near-term results, successful programmes will anticipate and concentrate on the tiny fraction of members who generate a large portion of costs. In the future, health plans will make use of the Internet to share essential information across fragmented delivery systems and individually engage seniors, who are increasingly on-line, in their care.

    Download Info

    If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
    File URL: http://diseasemanagement.adisonline.com/pt/re/dmo/pdfhandler.00115677-200007010-00001.pdf
    Download Restriction: Pay per view
    File URL: http://diseasemanagement.adisonline.com/pt/re/dmo/fulltext.00115677-200007010-00001.htm
    Download Restriction: Pay per view

    As the access to this document is restricted, you may want to look for a different version under "Related research" (further below) or search for a different version of it.

    Bibliographic Info

    Article provided by Wolters Kluwer Health | Adis in its journal Disease Management & Health Outcomes.

    Volume (Year): 7 (2000)
    Issue (Month): 1 ()
    Pages: 1-4
    Download reference. The following formats are available: HTML (with abstract), plain text (with abstract), BibTeX, RIS (EndNote, RefMan, ProCite), ReDIF
    Handle: RePEc:wkh:dmhout:v:7:y:2000:i:1:p:1-4

    Contact details of provider:
    Web page: http://diseasemanagement.adisonline.com/

    For corrections or technical questions regarding this item, or to correct its listing, contact: (Dave Dustin).

    Related research

    Keywords: Disease management programmes; Pharmacoeconomics; Reimbursement;

    Find related papers by JEL classification:

    References

    No references listed on IDEAS
    You can help add them by filling out this form.

    Citations

    Lists

    This item is not listed on Wikipedia, on a reading list or among the top items on IDEAS.

    Statistics

    Access and download statistics

    Corrections

    When requesting a correction, please mention this item's handle: RePEc:wkh:dmhout:v:7:y:2000:i:1:p:1-4

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Dave Dustin).

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If references are entirely missing, you can add them using this form.

    If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.