Disease Management

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Disease Management

Incorporating state-of-the-art disease management/care management offers many advantages.

Products:

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Disease management results in 12% reduction in participant medical cost (Cigna)
Disease management diabetes participants 20% reduction in hospital admissions (UHC)
Strong claim management results in 22% Reduction vs. standard management (UHC)
16% reduction in bed days (Cigna)
7% lower ER visits (Cigna)
37% fewer admissions (UCH)
14% savings over BCBS (Aetna)
6.1% lower overall cost (Aetna)
Prior authorization

– –	23% lower inpatient admission (Cigna) 10% reduction in unnecessary high cost radiology

A successful program should have:

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Population identification
Evidence-based practice guidelines
Patients self-management
Collaborative model

Data mining (59% of next year’s high-risk employees come from this year’s population):

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Health assessments
Claims data
Referrals
Demographics
Lab results
Biometric screenings

Incentives:

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Opt out/Opt in
Mandatory health assessments
Employee cost for non-participation

Nurse intervention:

· ·	Case management Inpatient concurrent review (4,000 to 9,000 deaths occur annually from medical errors – transitional care programs could prevent as many as 46% readmission)

FINANCIAL SERVICES
Professional asset management to meet your specific goals. Contact us today.

Huntleigh McGehee is integrated with Zywave to provide information to our clients at the click of a button.

SHRM
The Society for Human Resource Management, providing resources
for HR professionals.

LOSS CONTROL
Loss prevention is a critical aspect of any risk management program.

8235 Forsyth Boulevard, Suite 1200
Clayton, Missouri 63105-1643
(314) 889-3700 fax
(314) 746-4700