Developing an IDS-based disease-management program for the frail elderly

Journal Name: 
Healthc Financ Manage
Authors: 
Baseman,S.
Truxell,R.
Abstract: 
IDSs that own a health plan or enter a full-risk-sharing contract with a payer are in an position to benefit from developing disease-management programs that reduce acute care admissions. Full-risk assumption allows an IDS to realize cost savings due to more cost-effective care management that offset revenue lost due to reduced acute care services. Crozer-Keystone Health System (CKHS) in Delaware County, Pennsylvania, implemented a disease-management program for frail elderly enrollees in its Medicare + Choice plan, MedCare Plus. Projected first-year savings were estimated at about $619,000 over 1,200 member months. First-year results showed a 36 percent reduction in acute care admissions, with savings of $242,749 over 613 member months. The difference between actual results and projected savings was attributed to social and other factors not accounted for in the cost-benefit analysis. Still, lost revenues from acute care admissions were more than offset by the savings realized
2
2000
Volume: 
54
Pages: 
33-36
Keywords: 
admission, Aged, analysis, CKHS, cost, Cost Savings, Cost-Benefit Analysis, Delivery of Health Care,Integrated, Disease Management, economics, elderly, factors, Frail Elderly, Health, Health Services for the Aged, Humans, Medicare, organization & administration, Pennsylvania, Philadelphia, Program Development, system, United States, Universities