Session 1 of 3-Part Series on DM ROI
What Will it Take for Disease Management to Demonstrate an ROI?
June 29, 2006
What You'll Learn
Dr. Ariel Linden will be addressing his recently published, controversial paper “What will it take for disease management to demonstrate a return on investment? New perspectives on an old theme.” Am J Manage Care 2006;12(4):217-222.
The paper is available at http://www.ajmc.com/Article.cfm?Menu=1&ID=3111
He will provide a methodology for assessing whether there exists enough opportunity in your population for DM to show an economic impact and will address the related issues of:
- Why should acute utilization, and not cost, be the marker to assess economic effectiveness
- Reviewing historic trends in chronic illness as an indicator of future direction
- Introduction to the Number Needed to Decrease (NND) analytic model for assessing Opportunity, using either the entire population in the denominator or looking at the diseased cohort only
Purchase 3-part Conference CD ROM
Our Speaker
Ariel Linden, DrPH, MS
President, Linden Consulting Group
Dr. Linden began his healthcare career as a clinical scientist in cardiovascular and pulmonary physiology. Since completing his doctorate at UCLA in health service research, Dr. Linden has worked at various health plans in the area of clinical quality improvement and research. His focus in the last three years has been on Disease Management, specifically evaluation strategies for determining program effectiveness. In this area alone, Dr. Linden has recently published numerous peer-reviewed papers, letters to the editors and a book chapter. In 2003 he was commissioned to write a position paper for the industry’s trade association-the Disease Management Association (DMAA).
Dr. Linden is active in the Managed Care accreditation process, serving as a surveyor for the Accreditation Association of Ambulatory Health Care (AAAHC). Additionally, he sits on several nationwide boards and committees focused on improving the quality of care delivered to patients, health plan members, and disease management program participants.
Dr. Linden currently holds adjunct positions at Oregon Health and Science University’s School of Medicine and School of Nursing.
The Details
Original Webcast: Thursday, June 29, 2006
Conference CD-ROM: CD-ROM Recording of the entire 3 part series is be available for $125.
Session 2 of 3-Part Series on DM ROI
"Better ROI Calculations Using Predictive Modeling"
July 13, 2006
What You'll Learn
ROI calculations traditionally use a comparison between populations, assuming that the populations are equivalent. However, unless an explicit risk-adjustment is applied, a change in a population’s relative risk profile can affect savings estimates. This webcast will address new applications of risk-adjustment to ensure population risk-equivalence, including examples from client results.
Purchase 3-part Conference CD ROM
Our Speakers
Ian Duncan, FSA MAAA
President, Solucia Inc.
Ian Duncan has thirty years of experience in the healthcare actuarial field. Between 2000 and 2002 was General Manager of a start-up provider of predictive modeling and other services to the Disease Management industry. Clients included United Healthcare, HealthNet of Arizona, Lifeguard and M-Plan. Currently he consults to vendors and purchasers of DM services, health plans, predictive modeling companies and reinsurers who are seeking a financial return for their Medical Management programs.
Rebecca Owen, FSA MAAA
PacificSource
Rebecca Owen has over 13 years of health actuarial experience. She has participated in a number of disease management program evaluations. She has extensive Medicare Advantage experience. Her expertise includes claims analysis for contracting, outlier, and fraud analysis, medical cost trend analysis and the use of predictive modeling in forecasting, underwriting and population studies.
The Details
Original Webcast: Thursday, July 13, 2006
Conference CD-ROM: CD-ROM Recording of the entire 3 part series is be available for $125.
Session 3 of 3-Part Series on DM ROI
"ROI Measurement: Finding the Fallacies"
July 20, 2006
What You'll Learn Al Lewis, President, Disease Management Purchasing Consortium, Int’l will instruct participants on how to "critically analyze" reporting, how to spot the fallacies and know when savings are "real." The session will use real-life examples, including some published ones, to illustrate the importance of a close reading. The session will end with a summary of the most common fallacies and how they interrelate. Participants will receive the materials in advance, along with the questions. Those who wish may participate in a contest to identify the largest number of fallacies, with prizes for the winner.
Purchase 3-part Conference CD ROM
Our Speaker
Al Lewis President of the Disease Management Purchasing Consortium International, Inc. Al Lewis is the founder and President of the Disease Management Purchasing Consortium International, Inc. DMPC is the leading consultant/procurement broker in the field of disease management. In total, programs initiated by DMPC member payors account for the majority of all Americans enrolled in full-risk outsourced disease management programs today by states and health plans as well as several large employers, and roughly 50% of all competitive health plan bids by dollar volume. The 98 current DMPC members cover 80-million lives. DMPC has been the subject of a cover story in Managed Healthcare Executive, and has been profiled in Demand and Disease Management, Managed Care, Healthcare Benchmarking, Healthplan, HealthLeaders, and Employee Benefit News. He is founder and past president of the Disease Management Association of America (www.DMAA.org), the official industry association. He was voted Best Speaker and Most Influential person in a poll by Computer Sciences Corp., and is one of only two two-time winners (1999, 2004) of the DMAA’s Karen Coughlin Award for Outstanding Achievement in Disease Management. Al holds undergraduate and law degrees from Harvard University, Phi Beta Kappa and holds a Visiting Scholar appointment at the Heller School for Social Policy, Brandeis University.
The Details
Original Webcast: Thursday, July 20, 2006
Conference CD-ROM: CD-ROM Recording of the entire 3 part series is be available for $125.
If you have any questions, please email us at info@soluciaconsulting.com or call 860-676-8808.
