Disease Management
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Author: Call Care Disease Management
Disease management is a system of synchronized health care communication for people with circumstances in which patient self-care efforts are prominent. The process can help to reduce healthcare cost yet enabling the people to improve quality of life by mitigating or preventing diseases. This is possible through an integrative care, generally for chronic conditions.
The payor-driven disease management is perhaps the most prominent model today. This model aims at reducing the cost for high-risk patients. The pharma-sponsored disease management model supports the usage of drugs. Cost indicators and the outcomes indicate the pavor-driven disease management program.
Some of the illnesses that disease management is concerned with are-
• Coronary heart disease
• Chronic Obstructive Pulmonary Disease
• Kidney failure
• Hypertension
• Diabetes
• Obesity
• Asthma
• Cancer
• Arthritis
• Clinical Depression
• Sleep apnea
• Osteoporosis
• Many other common ailments
Off lately, many disease management organizations have started that are based on revenue and other factors. For instance, Accordant, Alere, Caremark, Evercare, Health Dialog, Healthways, Lifemasters, Lifesynch, Magellan etc.
Disease management is a critical component especially for health plans, agencies, trusts, associations and employers who offer health insurance. Many Health maintenance Organizations try to cover at least one disease management program.
For disease management to meet its goals it is necessary to achieve this with the right tools, equipments and professionals. The fundamental behind it is to focus more on easing the disease path rather than finding a cure. This helps to improve the quality of life and increases efficiency. A lot of disease management programs focus towards long-term disease reductions. They believe that the long-term focus may not be noticeable today but would show its effects in the future. Many disease management programs offer ROI for their whole programs. This is because ROI (Return on Investment) is easily measurable.
A patient centric disease management demands active participation from the side of physicians. Such a service is offered by-
• Provider organizations
• Disease management organization that have a huge network of physicians. These physicians support the program.
• A disease management organization, allied with payors. This in-turn influences physician participation in program.
Commitment is required from the patients and their families for the success of such programs. The program also requires seasoned care managers who are sensitive to emotions. They are direct contributors to success. There should be a ready access to personalized care to improve the quality of life for chronic and terminally ill patients. The main point here is that the patient and their families should feel comfortable with the program to become confident about coping with the disease.
A patient-centric disease management business model would find it difficult to portray a practical example of how they can improve the quality of life. The benefits so obtained from such programs are tangible that is difficult to quantify. The program should be equally lucrative for the physicians as well. This is critical, as they have to spend a considerable time for the program. They are usually given incentives for their contribution.
Disease management programs are made in a way to make impact in the life of a patient and its family. Please visit http://www.callcarenet.com for more information.
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