Outcomes and lessons learned from evaluating TRICARE's disease management programs.

摘要: Objective To share outcomes and lessons learned from an evaluation of disease management (DM) programs for asthma, congestive heart failure (CHF), diabetes TRICARE patients. Study design Multiyear participants in voluntary, opt-out DM programs. Patient-centered programs, administered by 3 regional contractors, provide phone-based consultations with a care manager, educational materials, newsletters. The study sample consisted 23,793 4092 CHF, 29,604 patients at least 6 months' tenure the program. Methods Medical claims were analyzed to quantify program effect on healthcare utilization, medical costs, clinical outcomes. Multivariate regression analysis historical control group was used predict patient absence DM. difference between actual predicted attributed A survey collected data satisfaction perceived usefulness information services. Results Modest improvements included reduced inpatient days (with few exceptions) increased percentages receiving appropriate medications tests. Annual per reductions costs $453, $371, $783 participants, respectively. estimated return investment $1.26 $1.00 spent Conclusion Findings suggest that more than pay themselves, addition improving health quality life. Lessons design, implementation, effectiveness, may benefit employers contemplating DM, providers, evaluators