Managing and Evaluating Healthcare Intervention Programs
Ian Duncan, FSA,FIA,FCIA,MAAA
Care and Disease Management programs have grown to be a significant component of Managed Care in the US and abroad. While much has been written on the clinical aspects of programs, this is the first text book devoted to financial management and evaluation of healthcare intervention programs. It promises to become essential reading for those healthcare professionals interested in driving Return on their Investment in care management programs.
Product Code: 986564
ISBN 13: 9781566986564
Price: $85.00
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Table of Contents
Part 1: An Introduction to Care Management Interventions
  • Introduction
  • Care Management and Interventions
  • Actuarial Issues in Care Management Evaluations
  • Estimating Savings, Utilization Rate Changes and Return on Investment - A Selective Review of the Literature on Program Evaluation
  • The Use of the Value Chain in Disease Management Program Planning
Part 2: Actuarial Issues in Care Management Interventions
  • Understanding the Economics of Disease Management Programs
  • Measuring Disease Management Savings Outcomes
  • An Actuarial Method for Evaluating Disease Management Outcomes
  • Understanding Patient Risk and its Impact on Chronic and Non-Chronic Member Trends
  • Random Fluctuations and Validity in Measuring Disease Management Effectiveness for Small Populations
Part 3: Practical Applications
  • A Comparative Analysis of Chronic and Non-Chronic Insured Commercial Member Cost Trends
  • Testing Actuarial Methods for Evaluating Disease Management Outcomes
Part 4: Wellness, Integrated Programs and other New Developments in Care Management Programs
  • An Introduction to Wellness and Integrated Programs
  • Evaluation of Work Site Wellness Programs - A Selective Review of the Literature
  • The Relationship Between Risk Factors and Health Care Claims Cost in Program Design and Evaluation
Part 5: Conclusion
  • Post-script
Related Information
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