Are you getting value from your disease management/care management program?
Given that a very small percentage of members within any health plan generate a disproportionately high percentage of the total health care costs within the plan, care management and disease management programs that are intended for high-cost members would appear to be a no-brainer in terms of cost effectiveness. However, there have been a number of recent studies that have not been able to demonstrate the value of these programs. The reason for this is that not all care ma
