How to design a successful disease-management program

dianagosalvez Diana Gosálvez Prados last modified 15/03/2011 16:50

Five characteristics can help ensure that a disease-management program achieves its clinical and financial goals.

OCTOBER 2010

Stefan Brandt, PhD; Jan Hartmann, MD; and Steffen Hehner, PhD

Source: Healthcare Payor and Provider Practice

Health systems around the world are under increasing strain because of the rising prevalence of chronic conditions, including diabetes, heart disease, and asthma. For more than 15 years, disease-management programs (DMPs) have been promoted as a solution to this problem. By carefully coordinating the delivery of high-quality care to patients with chronic conditions, the programs are supposed to enhance the patients’ health, reduce hospitalization rates, and lower treatment costs.

Unfortunately, initial experience with DMPs was often disappointing. Many of them produced, at best, only modest improvements in health outcomes, and few were able to decrease health care spending. Thus, many payor, provider, and health system executives have questioned whether the programs are worth their cost.

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1/10/2010

McKinsey Quarterly

Analysis