Predictive modeling, integrated DM emerge as popular strategies.
The traditional managed care strategies of capitation and selective provider contracting are losing their punch, as members have demanded broader networks and providers have pushed demands for fee-for-service payment. Health plans looking to regain an advantage can capitalize on two emerging disease management strategies--both of which rely on analyzing member data.
D019468:Disease Management; D006801:Humans; D008329:Managed Care Programs / Q000458:organization & administration; D020379:Risk Adjustment / Q000379:methods; D012984:Software; D018511:Systems Integration; D014481:United States