Nail down data on cost, utilization to ensure success of DM risk contract.
Many disease management (DM) companies are negotiating capitated rates for their services, but industry experts offer two major cautions for both DM companies and health plans: Nail down your cost per disease state and the prevalence of the disease within your covered population before even thinking about signing a contract.
D002204:Capitation Fee; D003363:Cost Control / Q000379:methods; D017281:Cost of Illness; D019468:Disease Management; D006279:Health Maintenance Organizations / Q000191:economics* / Q000706:statistics & numerical data; D006801:Humans; D015995:Prevalence; D014481:United States / Q000453:epidemiology; D014600:Utilization Review / Q000706:statistics & numerical data*