Question
Health Care > Disease Management Programs > Preventive Care
Establish chronic disease treatment programs in Medicare and other federal programs
|
363 votes for this question.
Background
Disease management (DM) is the concept of reducing healthcare costs and/or improving quality of life for individuals with chronic disease conditions by preventing or minimizing the effects of a disease, or chronic condition through integrative care. DM is also often known as: care management, health management programs, or disease self-management.
Disease Management has evolved from managed care, specialty capitation, and health service demand management, and refers to the processes and people concerned with improving or maintaining health in large populations. As opposed to epidemiology, which is generally concerned with sudden or persistent virulent outbreaks of disease, Disease Management is concerned with common chronic illnesses, and the reduction of future complications associated with those diseases.
Illnesses that Disease Management would concern itself with would include: Coronary heart disease, kidney failure, hypertension, heart failure, obesity, diabetes, asthma, cancer, arthritis, clinical depression, and other common ailments.
In the United States, Disease Management (DM) is a large industry with many vendors. DM is of particular importance to health plans, agencies, trusts, associations and employers who offer health insurance. A Mercer Consulting study indicated that the percentage of employer-sponsored health plans offering disease management programs grew to 58% in 2003, up from 41% in 2002.
see more on Wikipedia
Healthcare in the U.S. has significant publicly funded components. Medicare covers the elderly and disabled with a historical work record, Medicaid is available for the poor, and the State Children's Health Insurance Program covers children of low-income families. The Veterans Health Administration directly provides health care to U.S. military veterans through a nationwide network of government hospitals. Eligibility is determined by Priority Groups. Retirees and those with service-connected injuries are within the higher priority groups, while non-injured veterans may become eligible based on financial need (reference eligibility Priority Groups). Current servicemen and women are provided care at military facilities while on active duty. Reservists also have access to care while on active duty. Family members of full-time active duty personnel are covered under CHAMPUS (Civilian Health and Medical Program of the Uniformed Services). Together, these tax-financed programs cover about 27% of the population and make the government the largest health insurer in the nation.
see more on Wikipedia
Disease Management has evolved from managed care, specialty capitation, and health service demand management, and refers to the processes and people concerned with improving or maintaining health in large populations. As opposed to epidemiology, which is generally concerned with sudden or persistent virulent outbreaks of disease, Disease Management is concerned with common chronic illnesses, and the reduction of future complications associated with those diseases.
Illnesses that Disease Management would concern itself with would include: Coronary heart disease, kidney failure, hypertension, heart failure, obesity, diabetes, asthma, cancer, arthritis, clinical depression, and other common ailments.
In the United States, Disease Management (DM) is a large industry with many vendors. DM is of particular importance to health plans, agencies, trusts, associations and employers who offer health insurance. A Mercer Consulting study indicated that the percentage of employer-sponsored health plans offering disease management programs grew to 58% in 2003, up from 41% in 2002.
see more on Wikipedia
Healthcare in the U.S. has significant publicly funded components. Medicare covers the elderly and disabled with a historical work record, Medicaid is available for the poor, and the State Children's Health Insurance Program covers children of low-income families. The Veterans Health Administration directly provides health care to U.S. military veterans through a nationwide network of government hospitals. Eligibility is determined by Priority Groups. Retirees and those with service-connected injuries are within the higher priority groups, while non-injured veterans may become eligible based on financial need (reference eligibility Priority Groups). Current servicemen and women are provided care at military facilities while on active duty. Reservists also have access to care while on active duty. Family members of full-time active duty personnel are covered under CHAMPUS (Civilian Health and Medical Program of the Uniformed Services). Together, these tax-financed programs cover about 27% of the population and make the government the largest health insurer in the nation.
see more on Wikipedia
No comments on this question yet.
