The net fiscal impact of a chronic disease management program: Indiana Medicaid.
In 2003 the Indiana Office of Medicaid Policy and Planning implemented the Indiana Chronic Disease Management Program (ICDMP). This paper reports on the fiscal impact of the ICDMP from the state's perspective, as estimated from the outcomes of a randomized trial. Medicaid members with congestive heart failure (CHF) or diabetes, or both, were randomly assigned by practice site to chronic disease management services or standard care. The effect of the ICDMP varied by disease group and risk class: while cost savings were achieved in the CHF subgroup, disease management targeted to patients with only diabetes resulted in no significant fiscal impact.
Holmes
Ann M
AM
School of Public and Environmental Affairs, Indiana University, Indianapolis, USA.
Ackermann
Ronald D
RD
Zillich
Alan J
AJ
Katz
Barry P
BP
Downs
Stephen M
SM
Inui
Thomas S
TS
D002908:Chronic Disease / Q000191:economics / Q000628:therapy*; D019468:Disease Management; D017048:Health Care Costs / Q000706:statistics & numerical data*; D006285:Health Planning; D006801:Humans; D007196:Indiana; D008484:Medicaid / Q000191:economics*; D015999:Multivariate Analysis; D012051:Reimbursement Mechanisms / Q000191:economics; D014481:United States