title: For what illnesses is a disease management program most effective?
abstract: OBJECTIVE
  We examined the impact of a disease management (DM) program offered at the University of Minnesota for those with various chronic diseases.
  
  
  METHODS
  Differences-in-differences regression equations were estimated to determine the effect of DM participation by chronic condition on expenditures, absenteeism, hospitalizations, and avoidable hospitalizations.
  
  
  RESULTS
  Disease management reduced health care expenditures for individuals with asthma, cardiovascular disease, congestive heart failure, depression, musculoskeletal problems, low back pain, and migraines. Disease management reduced hospitalizations for those same conditions except for congestive heart failure and reduced avoidable hospitalizations for individuals with asthma, depression, and low back pain. Disease management did not have any effect for individuals with diabetes, arthritis, or osteoporosis, nor did DM have any effect on absenteeism.
  
  
  CONCLUSIONS
  Employers should focus on those conditions that generate savings when purchasing DM programs.
  
  
  CONCLUSIONS
  This study suggests that the University of Minnesota's DM program reduces hospitalizations for individuals with asthma, cardiovascular disease, depression, musculoskeletal problems, low back pain, and migraines. The program also reduced avoidable hospitalizations for individuals with asthma, depression, and low back pain.
authors: From the Division of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis.
authors: Eric
authors: E
authors: Jutkowitz
authors: John A
authors: JA
authors: Nyman
authors: Tzeyu L
authors: TL
authors: Michaud
authors: Jean M
authors: JM
authors: Abraham
authors: Bryan
authors: B
authors: Dowd
mesh_terms: D000041:Absenteeism; D000328:Adult; D001168:Arthritis / Q000191:economics / Q000628:therapy; D001249:Asthma / Q000191:economics / Q000628:therapy; D002908:Chronic Disease / Q000628:therapy*; D003863:Depression / Q000191:economics / Q000628:therapy; D003920:Diabetes Mellitus / Q000191:economics / Q000628:therapy; D019468:Disease Management; D005260:Female; D017048:Health Care Costs / Q000706:statistics & numerical data*; D006333:Heart Failure / Q000191:economics / Q000628:therapy; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D017116:Low Back Pain / Q000191:economics / Q000628:therapy; D008297:Male; D008875:Middle Aged; D008881:Migraine Disorders / Q000191:economics / Q000628:therapy; D008910:Minnesota; D009140:Musculoskeletal Diseases / Q000191:economics / Q000628:therapy; D016272:Occupational Health; D010024:Osteoporosis / Q000191:economics / Q000628:therapy; D012044:Regression Analysis; D014495:Universities