TITLE

Iowa program targets the 5% most costly Medicaid clients

PUB. DATE
May 2011
SOURCE
State Health Watch;May2011, Vol. 18 Issue 5, p5
SOURCE TYPE
Periodical
DOC. TYPE
Article
ABSTRACT
The article explains the Iowa Medicaid disease management program. The program targets the five percent of members believed to be the highest cost/risk, and they get additional care. A health coach takes an initial query to determine needs and disease-specific issues and a care plan is determined to assist the member in following the physician's orders. A social worker can coordinate with family members to help with proper care of member. Care managers coordinate with hospitals and the coach conducts one-on-one education with member through telephone.
ACCESSION #
60495732

 

Related Articles

  • Case Selection for a Medicaid Chronic Care Management Program. Weir, Sharada; Phil, D.; Aweh, Gideon; Clark, Robin E. // Health Care Financing Review;Fall2008, Vol. 30 Issue 1, p61 

    Medicaid agencies are beginning to turn to care management to reduce costs and improve health care quality. One challenge is selecting members at risk of costly, preventable service utilization. Using claims data from the State of Vermont, we compare the ability of three pre-existing health risk...

  • Asthma Health Improves, Medicaid Costs Drop in Pilot Project of Disease Management.  // Ascribe Newswire: Medicine;2/17/2004, p1 

    Costs for treating asthma patients under Colorado's Medicaid program can drop significantly when those patients are enrolled in a comprehensive disease management program. This conclusion comes from results released of a pilot program managed by National Jewish Medical and Research Center in...

  • Asthma Health Improves, Medicaid Costs Drop in Pilot Project of Disease Management.  // Ascribe Newswire: Medicine;2/16/2004, p13 

    Costs for treating asthma patients under Colorado's Medicaid program can drop significantly when those patients are enrolled in a comprehensive disease management program. This conclusion comes from results released February 12 of a pilot program managed by National Jewish Medical and Research...

  • Resource use, costs down in first year of DM programme.  // PharmacoEconomics & Outcomes News;2/26/2005, Issue 472, p7 

    Reports on the outcome of the Missouri Medicaid disease management programme between July 2004 and June 2004. Reduction in resource use and costs for Medicaid recipients; Diseases addressed by the program; Decrease in the number of emergency-department visits.

  • Disease management proves less of a success. Wall, J. K. // Indianapolis Business Journal;4/23/2007, Vol. 28 Issue 7, p5 

    The article reports that the estimated savings for the Indiana Chronic Disease Management Program have been lowered by more than 75 percent. The program involves the use of a call center and a number of nurses to coach Medicaid patients who have high risks of being hospitalized for various...

  • Using Qualitative and Quantitative Methods to Evaluate Small-Scale Disease Management Pilot Programs. Esposito, Dominick; Taylor, Erin Fries; Gold, Marsha // Population Health Management;Feb2009, Vol. 12 Issue 1, p3 

    Interest in disease management programs continues to grow as managed care plans, the federal and state governments, and other organizations consider such efforts as a means to improve health care quality and reduce costs. These efforts vary in size, scope, and target population. While...

  • CMS Matches Disease Management Costs.  // HomeCare Magazine;Apr2004, Vol. 27 Issue 4, p16 

    Highlights the announcement by Centers for Medicare and Medicaid Services (CMS) regarding its matching of the states' costs for operating disease management programs. State Medicaid directors to be informed of the program through a letter; Encouragement to states to adopt more disease...

  • Missouri Medicaid reduces medication cost, improves patient care. Mathers, Danielle // Pharmacy Today;Jul2009, Vol. 15 Issue 7, p49 

    The article reports on the Get Wellness Education, Learn to Live (Get WELL) project launched by the Missouri Medicaid, MO HealthNet. The project focuses on patients with chronic conditions and at high risk for adverse effects and reduces medical costs for Medicaid fee for service patients while...

  • Effective Interventions For Stemming The Growing Crisis Of Diabetes And Prediabetes: A National Payer's Perspective. Vojta, Deneen; De Sa, Jeanne; Prospect, Ted; Stevens, Simon // Health Affairs;Jan2012, Vol. 31 Issue 1, p20 

    Between a fifth and a third of US adults will have diabetes by midcentury, up from one in ten now, according to a government estimate. We project that over the next decade, around 40 million adults could have diabetes and 100 million could be diagnosed with its clinical precursor, prediabetes....

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics