http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/Article/list/972 Coordinated healthcare interventions and communications among providers and patients for those with conditions in which patient self-care efforts are significant. The ultimate goal is to improve patient health. 2009-11-21T15:01:52Z http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/Design-communication-with-health-literacy-in-mind/ArticleStandard/Article/detail/557632?contextCategoryId=972&ref=25 A recent study by the University of Connecticut indicates that the cost of low health literacy to the U.S. economy is as high as $238 billion annually. It's imperative that health plans and systems drive new efforts. 2008-10-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/412008/557632null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Health%2FDisease+Strategy/Disease-registries-have-flown-under-clinicians-rad/ArticleStandard/Article/detail/547910?contextCategoryId=972&ref=25 Disease registries are gaining in popularity as electronic tools designed to give physicians clinical support to deliver appropriate care. 2008-09-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/362008/547910null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/Sleepless-nights-cost-billions-in-care-and-product/ArticleStandard/Article/detail/533526?contextCategoryId=972&ref=25 The continual inability to fall asleep or stay asleep is keeping approximately one-third of the nation up at night. Individuals with insomnia incur $12 billion in direct medical costs and $2 billion in drug costs alone. 2008-08-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/322008/533526null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Health+Management/P4P-programs-aim-to-track-prevent-growing-MRSA-epi/ArticleStandard/Article/detail/528027?contextCategoryId=972&ref=25 Methicillin-resistant Staphylococcus aureus (MRSA), a type of bacterium that is resistant to certain antibiotics, has become a national epidemic, with increasing numbers of serious infections, hospitalizations and deaths. Hospital stays for these infections tripled from 2000 to 2005. 2008-07-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/272008/528027null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Health+Management/Innovative-plan-designs-focus-on-consumer-engageme/ArticleStandard/Article/detail/522499?contextCategoryId=972&ref=25 The convergence of rising healthcare costs, increased cost sharing and demand by consumers for more participation in healthcare decisions is producing a variety of innovative health insurance solutions. 2008-06-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/242008/522499null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Health+Management/Shared-decision-making-gains-recognition-as-patien/ArticleStandard/Article/detail/509178?contextCategoryId=972&ref=25 The practice of shared decision making (SDM)—the collaboration between patients and caregivers to arrive at an informed, value-based healthcare decision when treatment options have features that patients value differently—is gaining recognition among health plans as a key function of a patient-centric model of care. 2008-04-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/152008/509178null HTML http://managedhealthcareexecutive.modernmedicine.com/mhe/Health+Management/MCOs-break-the-cycle-in-chronic-care-with-interven/ArticleStandard/Article/detail/489467?contextCategoryId=972&ref=25 Although prevention has become a key element in traditional disease management programs—trying to prevent or mitigate a chronic disease before it exacerbates—that may not be sufficient when a patient has a late-stage or end-of-life condition. There is a new emphasis on caring for older adults with multiple comorbidities. Almost 80% of people 65 and older report having a chronic illness, according to the Robert Wood Johnson Foundation. 2008-02-01T05:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/062008/489467null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/Updated-Disease-Management-Guidelines-Impact-Inves/ArticleStandard/Article/detail/482217?contextCategoryId=972&ref=25 Disease management programs don't come cheap, but thanks to industry collaboration, purchasers are increasingly learning how to assess the business case for these programs. 2008-01-01T05:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/022008/482217null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Health+Management/DME-coverage-guided-by-medical-regulatory-necessit/ArticleStandard/Article/detail/462222?contextCategoryId=972&ref=25 As durable medical equipment (dme) becomes increasingly sophisticated, MCOs' challenges remain rooted in establishing medical necessity. To that end, most use strategies including prior authorization and coverage limits. Meanwhile, they must also satisfy changing state and national regulatory requirements. 2007-10-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/402007/462222null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Health+Management/Contracts-with-sports-teams-a-true-marketing-coup/ArticleStandard/Article/detail/452864?contextCategoryId=972&ref=25 IN THE WORLD OF professional sports, the competition isn't only on the gridiron, the court or the diamond. Just ask an MCO. 2007-09-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/352007/452864null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Health+Management/Mens-healthcare-concerns-dont-receive-equal-attent/ArticleStandard/Article/detail/446464?contextCategoryId=972&ref=25 The economics and the politics behind the major healthcare problems affecting men, such as cardiovascular disease, cancer, obesity and depression, aren't receiving the attention they deserve. It has been the rule that women make health decisions for themselves and also for their male partners and their children. In contrast, most men have a more casual attitude toward their care: "if it ain't broke, don't fix it." 2007-08-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/312007/446464null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Health+Management/Best-practices-effective-for-in-patient-heart-atta/ArticleStandard/Article/detail/439162?contextCategoryId=972&ref=25 Grace seems an unlikely acronym for a study of acute coronary events, but given the findings of the Global Registry of Acute Coronary Events published in the Journal of the American Medical Association, the name may be apropos. 2007-07-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/272007/439162null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/Employers-reach-large-populations-with-progressive/ArticleStandard/Article/detail/430370?contextCategoryId=972&ref=25 Worldwide, 388 million people will die from chronic diseases in the next 10 years. Chronic diseases account for about 75% of all healthcare costs. Clearly, disease management and prevention is sorely needed, but it's been a struggle to change the behaviors of large groups of people. A number of programs are finding success using non-traditional methods. 2007-06-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/222007/430370null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/Rheumatoid-arthritis-takes-its-place-among-chronic/ArticleStandard/Article/detail/424950?contextCategoryId=972&ref=25 LOW-PREVALENCE rheumatoid arthritis (RA) has not gained attention equal to that of more common chronic diseases, but it has earned a spot on the list of complex diseases ripe for disease management. 2007-05-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/192007/424950null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Health+Management/New-math-provides-epiphany-for-measuring-ROI/ArticleStandard/Article/detail/415870?contextCategoryId=972&ref=25 Disease management as we now define it may be on its last legs, though no one knows it yet. The Disease Management Purchasing Consortium has noticed that the savings in all but a few diseases doesn't offset the costs, and nowhere does it generate the level of return on investment (ROI) that some people think they are getting. 2007-04-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/142007/415870null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Health+Management/Case-management-for-seniors-requires-heightened-co/ArticleStandard/Article/detail/409184?contextCategoryId=972&ref=25 The centers for Medicare and Medicaid (CMS) says that 23% of Medicare beneficiaries have five or more chronic conditions but account for 68% of costs—not quite the 80/20 rule. And they tend to see many different doctors—about 14 a year with almost 40 office visits—and take as many as 10 medications at a time, according to Partnership for Solutions. 2007-03-01T05:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/102007/409184null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Health+Management/Revised-HIV-testing-guidelines-for-adults-scrutini/ArticleStandard/Article/detail/401871?contextCategoryId=972&ref=25 Last year acknowledged the 25th year since AIDS was first recognized, and to coincide with that anniversary, the U.S. Centers for Disease Control and Prevention (CDC) revised its recommendations for HIV testing for adults, adolescents and pregnant women in healthcare settings. The new guidelines remove the onus of determining who is at high risk for HIV infection and makes testing a routine part of medical care for all patients between ages 13 and 64 years. 2007-02-01T05:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/052007/401871null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Web+Exclusives/More-on-HIV-testing/ArticleStandard/Article/detail/401861?contextCategoryId=972&ref=25 CDC's revised HIV recommendations that all people aged 13 to 64 should have routine HIV testing may be effective in the public health setting, but might not be as effective in the privat setting, according to one expert. 2007-02-01T05:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/052007/401861null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/States-seek-enhanced-DM-for-Medicaid-patients/ArticleStandard/Article/detail/396684?contextCategoryId=972&ref=25 Medicaid Enrolees who suffer from expensive, chronic conditions tend to suffer from so many comorbidities and complicating social problems—such as homelessness and lack of transportation—that isolating a single disease state for intervention is ineffective. And states are beginning to recognize that. 2007-01-01T05:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/022007/396684null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/Tech-tools-reduce-labor-costs-for-DM-programs/ArticleStandard/Article/detail/383212?contextCategoryId=972&ref=25 For years, health plans have struggled to achieve one of their primary objectives: the ability to influence their members' healthcare habits and choices. 2006-11-01T05:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/442006/383212null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/More-on-Disease-Management-Oct-2006-Employers-weig/ArticleStandard/Article/detail/376824?contextCategoryId=972&ref=25 Depressive disorders stand out as a major occupational health issue, and employers are feeling the burden in reduced productivity and higher healthcare costs for their work forces. 2006-10-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/402006/376824null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/Depression-can-be-a-detriment-to-workplace-product/ArticleStandard/Article/detail/376838?contextCategoryId=972&ref=25 The times they are a changin'," written and sung by Bob Dylan, was a popular protest song in the 1960s, and those words hold true today in the dynamic healthcare industry. The American industrial nation bred musculoskeletal problems but today's workplace presents new problems—depression and related conditions—the greatest impact on productivity, says Sean Sullivan, president and CEO of the Institute for Health and Productivity Management in Scottsdale, Ariz., and a member of the Managed Healthcare Executive editorial advisory board. 2006-10-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/402006/376838null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/Single-source-DM-likely-to-increase-as-industry-co/ArticleStandard/Article/detail/367919?contextCategoryId=972&ref=25 When it comes to health, bigger is not necessarily better. The term "morbid obesity" has become common vernacular in recent years, even outside of clinics and hospitals. But can bigger mean better when it comes to finding the best approach to managing DM? Two schools of thought preside in the health plan market today: Compile a stable of disease-specific vendors and coordinate them in-house (also referred to as "best-of-breeders"), or choose a single vendor to handle all the disease management programs. 2006-09-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/352006/367919/i1_thumbnail.jpg http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/352006/367919null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Web+Exclusives/More-on-health-coaching-Disease-Management-August-/ArticleStandard/Article/detail/363704?contextCategoryId=972&ref=25 The educational and professional qualifications of health coaches is relative to the type of health coaching that is being done, according to industry experts. 2006-08-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/322006/363704null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/In-their-corner-Health-coaches-support-consumer-ef/ArticleStandard/Article/detail/363699?contextCategoryId=972&ref=25 When his daughter was born seven years ago, Dan Schach had been smoking and chewing tobacco for 32 years. He knew then that it was time to make a lifestyle change. 2006-08-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/322006/363699/i1_thumbnail.jpg http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/322006/363699null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/Create-a-flexible-disaster-plan-to-curtail-negativ/ArticleStandard/Article/detail/357678?contextCategoryId=972&ref=25 Southeasterners dread their hurricanes, Californians remain a bit wary when anything shakes or rattles, and now many of us are keeping an eye on the possibility of an avian flu pandemic. Although we hear about its possibility in the news almost daily, most Americans don't seem to be taking any special precautions or preparing an emergency plan to cope with the H5N1 strain of the avian influenza virus. 2006-07-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/282006/357678null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Web+Exclusives/Care-management-and-P4P-programs-face-the-same-cha/ArticleStandard/Article/detail/357659?contextCategoryId=972&ref=25 Care management and pay-for-performance (P4P) programs couldn't be more popular in the industry. Although often thought of and managed separately, their goals are really the same: to focus attention and dollars where they will have the greatest impact on patient care. With care management, the focus is on finding and providing specialized services to those who either have chronic illnesses or who might be heading down the path toward them. P4P merely casts the net wider with its assumption that tying physician payments to standards of care will deliver optimal care along the healthcare continuum. 2006-07-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/282006/357659null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Web+Exclusives/Plans-take-initiative-in-disaster-planning-through/ArticleStandard/Article/detail/357660?contextCategoryId=972&ref=25 Some health plans are partnering with public health departments and statewide services to develop disaster plan to help avert the potential catastrophic effects of a flu pandemic. As an integrated delivery system, SelectHealth in Salt Lake City is working with the Utah Department of Health, which developed the Utah Pandemic Influenza Response, a preparedness plan in coordination with efforts by WHO and the U.S. Department of Health & Human Services. The state's primary goals are to minimize serious illness and deaths, societal disruption and economic loss. 2006-07-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/282006/357660null XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Newswire/Contracts-may-herald-arrival-of-disease-management/ArticleStandard/Article/detail/329921?contextCategoryId=972&ref=25 National reports —A trio of business agreements announced this spring are indicators that the healthcare industry may be fully embracing the concept of disease management to help lower costs, improve care and focus on a "whole-person" approach to providing patient care. 2006-06-01T04:00:00Z XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Web+Exclusives/Chronic-conditions-need-continual-care/ArticleStandard/Article/detail/329905?contextCategoryId=972&ref=25 According to the Centers for Disease Control, chronic diseases have become the leading cause of death and disability in the United States, account for 7 out of every 10 deaths and affect the quality of life of 90 million Americans. In 2002, direct medical costs reached $92 billion and indirect costs (including disability, work loss and premature mortality) totaled $40 billion. Perhaps the most confounding fact is that although chronic diseases are among the most common and costly health problems, they also are among the most preventable. 2006-06-01T04:00:00Z XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/Programs-tip-scales-toward-health-as-rate-of-overw/ArticleStandard/Article/detail/329913?contextCategoryId=972&ref=25 Childhood obesity and its inherent health risks have become a major health crisis. Just a few decades ago, the idea of an obesity epidemic would have seemed inconceivable. As late as the 1960s and 1970s, the rate of overweight children remained steady and nominal. By the mid-1980s, however, the numbers began rising and by the 1990s, they were surging. In fact, obesity in children ages 6 to 11 years has quadrupled the last 25 years and doubled for adolescents, according to the Centers for Disease Control. 2006-06-01T04:00:00Z XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/Care-coordination-programs-adapt-to-real-world-cha/ArticleStandard/Article/detail/322945?contextCategoryId=972&ref=25 Once limited to major disease states such as asthma, diabetes and congestive heart failure, disease management has become a far more comprehensive tool for health plans. Not only has it expanded to encompass less-prevalent conditions such as Hepatitis C and Lyme disease, it addresses non-clinical barriers to care, such as scheduling and patient transportation. 2006-05-01T04:00:00Z XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/Treatment-after-stroke-includes-reducing-risk-of-r/ArticleStandard/Article/detail/314990?contextCategoryId=972&ref=25 Each year roughly 700,000 Americans suffer a new or recurrent stroke, a condition that arises when blood flow to the brain is disrupted. Nearly a quarter of those incidents are fatal, making stroke the third-leading cause of death behind diseases of the heart and cancer. 2006-04-01T05:00:00Z XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/Collaboration-improves-scope-of-disease-management/ArticleStandard/Article/detail/311739?contextCategoryId=972&ref=25 Health plans reinforce to the patient what the physician has already told them. 2006-03-01T05:00:00Z XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/Viral-hepatitis-C-management-involves-some-tough-d/ArticleStandard/Article/detail/301716?contextCategoryId=972&ref=25 The best approach is to combine clinical therapy with strong support from behavioral health professionals. 2006-02-01T05:00:00Z XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/Comprehensive-infertility-coverage-can-add-value-t/ArticleStandard/Article/detail/282718?contextCategoryId=972&ref=25 Most cost estimates for infertility treatment, including IVF, range from $4 to $6 per member per year. 2006-01-01T05:00:00Z XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/Challenges-of-pulmonary-hypertension-make-it-an-id/ArticleStandard/Article/detail/256164?contextCategoryId=972&ref=25 Today's Approach to interventions that address chronic disease and conditions is both broader and deeper than ever before. But there is another group of patients who rarely, if ever, directly benefit from these programs. According to Alan Wright, MD, former chief medical officer of TheraCom, these are patients who might use more than $100,000 a year in pharmaceutical spending and/or resources, patients who have a disease that is progressive with no known cure. These are the patients who have a rare disease, such as pulmonary arterial hypertension (PAH), a rare blood vessel disorder characterized by increased pressure in the pulmonary artery. 2005-12-01T05:00:00Z XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/Prevention-and-wellness-programs-take-priority-for/ArticleStandard/Article/detail/196475?contextCategoryId=972&ref=25 Although a recent study reported in the Journal of the American Medical Association shows that less than half of eligible Medicare beneficiaries received six recommended preventive services, such as cancer screenings, flu shots and diabetes eye exams, health insurance plans are illustrating that prevention and wellness programs are a priority. 2005-11-01T05:00:00Z XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/More-on-wellness-from-Novembers-Disease-Management/ArticleStandard/Article/detail/196483?contextCategoryId=972&ref=25 Plans are using health risk assessments to track progress 2005-11-01T05:00:00Z XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/DM-Web-site-goes-beyond-national-guidelines-to-inc/ArticleStandard/Article/detail/183310?contextCategoryId=972&ref=25 While healthcare is highly competitive from a business perspective, when it comes to the actual delivery of care, everyone is on the same team. The ultimate goal is to provide the best possible care at the lowest possible cost, and that's exactly why the Cleveland Clinic created its Disease Management Project. 2005-10-01T04:00:00Z XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/Large-plan-shops-DM-boutiques-for-best-in-breed-se/ArticleStandard/Article/detail/164172?contextCategoryId=972&ref=25 The marketplace increasingly relies on multi-specialty DM companies, but one organization is pursuing a contrarian approach for disease management. Cypress, Calif.-based PacifiCare Health Systems is following what Gordon K. Norman, MD, its vice president for disease management, calls a "best of breed" strategy. 2005-06-01T04:00:00Z XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/Vulnerable-older-adults-not-receiving-proper-care-/ArticleStandard/Article/detail/155754?contextCategoryId=972&ref=25 Many people dying in institutions have unmet needs for symptom amelioration and emotional support. 2005-04-01T05:00:00Z XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/Disease-management-of-the-future-promises-more-rem/ArticleStandard/Article/detail/150898?contextCategoryId=972&ref=25 WHEN HUMANS WALKED on the moon during the Apollo era, visionaries were foretelling the development of colonies in outer space. Meanwhile, Earthbound communities experienced explosive growth, producing the modern suburb with its housing developments and urban sprawl. 2005-03-01T05:00:00Z XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/Higher-percentages-of-Americans-use-alternative-me/ArticleStandard/Article/detail/146114?contextCategoryId=972&ref=25 Consumers more and more are trying to take control of their own healthcare destinies. They are looking for more therapy alternatives so they can better manage their healthcare dollars. 2005-02-01T05:00:00Z XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/New-guidelines-answer-questions-in-the-hormone-rep/ArticleStandard/Article/detail/141945?contextCategoryId=972&ref=25 When Common wisdom is debunked, it takes time for physicians and their patients to adjust to a new way of thinking. Hormone therapy (HT) is just beginning to emerge from that state of limbo. 2005-01-01T05:00:00Z XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Lead+Item/Leaders-take-DM-from-concept-to-reality-Part-2/ArticleStandard/Article/detail/148198?contextCategoryId=972&ref=25 This second list of DM leaders holds a slightly different set of qualifications. 2004-12-01T05:00:00Z HTML http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/Leaders-take-DM-from-concept-to-reality-Part-1/ArticleStandard/Article/detail/133744?contextCategoryId=972&ref=25 MHE pays tribute to top DM leaders, now expanded with more information in this online version 2004-11-01T05:00:00Z HTML http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/Public-awareness-helps-put-male-breast-cancer-on-i/ArticleStandard/Article/detail/127452?contextCategoryId=972&ref=25 In recent years, the looped, colored ribbon pinned to a lapel has come to symbolize awareness, support and advocacy. 2004-10-01T04:00:00Z XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/DMAA-seeks-consensus-on-DM-outcome-measures/ArticleStandard/Article/detail/121921?contextCategoryId=972&ref=25 EMPLOYERS AND MCOs realize that effective DM programs can cut costs and improve outcomes, but it isn't easy to determine which programs are truly effective. The Disease Management Association of America (DMAA) recently released a consensus paper, "Principles for Assessing Disease Management Outcomes," which clarifies this important subject. 2004-09-01T04:00:00Z XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Lead+Item/While-poorly-understood-IBS-is-uniquely-suited-to-/ArticleStandard/Article/detail/109636?contextCategoryId=972&ref=25 If diagnosing IBS is difficult, managing it can be even trickier because there’s no protocol. 2004-08-01T04:00:00Z XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/Where-theres-smoke-theres-financial-incentive-to-p/ArticleStandard/Article/detail/105389?contextCategoryId=972&ref=25 For health plans to implement a tobacco-reduction intervention, the cost is about 22 cents PMPY. 2004-07-01T04:00:00Z XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/For-Medicaid-members-social-issues-figure-into-car/ArticleStandard/Article/detail/100488?contextCategoryId=972&ref=25 What distinguishes the Medicaid model is the attention paid to members’ personal and social problems. 2004-06-01T04:00:00Z XML http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/Arthritis-relief-goes-beyond-pain-reduction-for-th/ArticleStandard/Article/detail/96615?contextCategoryId=972&ref=25 Many arthritis sufferes are under 65 and need added support to maintain daily function 2004-05-01T04:00:00Z PDF http://managedhealthcareexecutive.modernmedicine.com/mhe/Lead+Item/DM-Web-Exclusive-Arthritis-patients-are-at-risk-fo/ArticleStandard/Article/detail/96828?contextCategoryId=972&ref=25 Also see our May DM feature for more about arthritis 2004-05-01T04:00:00Z HTML http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/Condition-characteristics-denote-methodology-for-m/ArticleStandard/Article/detail/92651?contextCategoryId=972&ref=25 Plans should drill deeper to assess DM programs for conditions that involve sudden events in undiagnosed populations 2004-04-01T05:00:00Z PDF http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/Plans-encouraged-by-activities-that-lift-obesitys-/ArticleStandard/Article/detail/89045?contextCategoryId=972&ref=25 Overweight members tally up disproportionate medical costs, but DM programs prove to be effective in lifestyle makeovers 2004-03-01T05:00:00Z PDF http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/March-DM-Web-Exclusive-Bariatric-surgery----Should/ArticleStandard/Article/detail/89197?contextCategoryId=972&ref=25 This controversial treatment can reduce long-term morbidities, but is it efficacious? 2004-03-01T05:00:00Z HTML http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/COPD-Consequences-of-an-Underrecognized-Disease/ArticleStandard/Article/detail/134306?contextCategoryId=972&ref=25 Chronic obstructive pulmonary disease generates huge costs in the working population, yet it is given scant attention. Here are the facts and the actions employers can take. 2004-02-13T05:00:00Z HTML http://managedhealthcareexecutive.modernmedicine.com/mhe/Lead+Item/Nurses-serve-as-a-constant-presence-during-a-membe/ArticleStandard/Article/detail/85798?contextCategoryId=972&ref=25 Plans offer the personal touch of these special caregivers 2004-02-01T05:00:00Z PDF http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/Providers-challenged-to-get-a-grip-on-pain-specifi/ArticleStandard/Article/detail/78440?contextCategoryId=972&ref=25 Quality initiatives and a group treatment approach might increase understanding and ease the cost burden of the disease 2003-12-01T05:00:00Z PDF http://managedhealthcareexecutive.modernmedicine.com/mhe/Cost+Containment%2FCost+Management/One-Health-Care-Strategy-is-Just-Not-Enough/ArticleStandard/Article/detail/134269?contextCategoryId=972&ref=25 Case management looks at the individual; disease management looks at the population. Together they address the full spectrum of health care cost and quality issues. 2003-11-07T05:00:00Z HTML http://managedhealthcareexecutive.modernmedicine.com/mhe/Essentials/Singling-out-members-with-less-prevalent-diseases-/ArticleStandard/Article/detail/75954?contextCategoryId=972&ref=25 Effective rare-disease management programs promise plans cost-effective care, better quality of life for patients 2003-11-01T05:00:00Z PDF http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/Why-We-Cant-Wait-to-Implement-Disease-Management/ArticleStandard/Article/detail/134266?contextCategoryId=972&ref=25 A minority of Americans undeniably generate the majority of health care expenses, and disease management tackles this root cause of the trends that are pounding employers. Given the size of the problem, it makes no sense for the business community to sit around and wait for detailed results of ROI analyses. 2003-10-15T04:00:00Z HTML http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/Misdiagnosis-lost-productivity-camouflage-the-true/ArticleStandard/Article/detail/72742?contextCategoryId=972&ref=25 Although prevalent, depressive disorders elude diagnosis and cause a costly ripple effect for employers 2003-10-01T04:00:00Z PDF http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/Integrating-DM-and-disability-programs-results-in-/ArticleStandard/Article/detail/69421?contextCategoryId=972&ref=25 Knocking down the silos that separate these disciplines enables higher quality care 2003-09-01T04:00:00Z PDF http://managedhealthcareexecutive.modernmedicine.com/mhe/Essentials/Mass-customization-suits-varied-needs-of-large-emp/ArticleStandard/Article/detail/69428?contextCategoryId=972&ref=25 Not too big and not too small, disease subcategories reduce the administrative burdens of DM 2003-09-01T04:00:00Z PDF http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/DM-EXCLUSIVE-ONLINE-CONTENT--Ford-pioneers-in-hous/ArticleStandard/Article/detail/66356?contextCategoryId=972&ref=25 Case study on Ford Motor Company's Partnership Health program 2003-08-01T04:00:00Z http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/332003/66356/online_webug_thumbnail.gif http://managedhealthcareexecutive.modernmedicine.com/mhe/data/articlestandard/mhe/332003/66356/online_webug_main.gif HTML http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/Nurture-the-needs-of-women-at-risk-for-prenatal-co/ArticleStandard/Article/detail/62589?contextCategoryId=972&ref=25 Educational pregnancy programs targeting minority members and those with risk factors help deliver optimal outcomes 2003-07-01T04:00:00Z PDF http://managedhealthcareexecutive.modernmedicine.com/mhe/Lead+Item/Demand-for-CAM-grows-but-it-belongs-in-a-separate-/ArticleStandard/Article/detail/59994?contextCategoryId=972&ref=25 Consumers want massage therapy and acupuncture, but plans insist that there be a financial or therapeutic benefit. 2003-06-01T04:00:00Z PDF http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/New-data-sources-multiply-the-power-of-predictive-/ArticleStandard/Article/detail/47661?contextCategoryId=972&ref=25 The evolution of predictive modeling continues with integrated data sources and weighted variables 2003-02-01T05:00:00Z PDF http://managedhealthcareexecutive.modernmedicine.com/mhe/Lead+Item/DM-accreditation-helps-plans-focus-even-more-on-qu/ArticleStandard/Article/detail/44013?contextCategoryId=972&ref=25 JCAHO, NCQA and URAC say their DM certification programs lend an added merit badge in the pursuit of value 2003-01-01T05:00:00Z PDF http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/Latest-cardiovascular-preventions-single-out-indiv/ArticleStandard/Article/detail/40934?contextCategoryId=972&ref=25 Risk stratification helps plans reach cardiovascular patients with information they can take to heart 2002-12-01T05:00:00Z PDF http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/Total-population-management-reduces-future-treatme/ArticleStandard/Article/detail/37923?contextCategoryId=972&ref=25 By addressing different levels of risk and readiness to change, plans can empower members to take control of diseases 2002-11-01T05:00:00Z PDF http://managedhealthcareexecutive.modernmedicine.com/mhe/Lead+Item/Focused-education-encourages-better-diabetes-self-/ArticleStandard/Article/detail/35218?contextCategoryId=972&ref=25 While daily diabetes management lies primarily in the hands of patients, several programs offer cost-effective, coordinated care 2002-10-01T04:00:00Z PDF http://managedhealthcareexecutive.modernmedicine.com/mhe/Obesity/Can-sin-taxes-and-lawsuits-make-us-healthier/ArticleStandard/Article/detail/135519?contextCategoryId=972&ref=25 Actions taken against tobacco might well be used to attack fast food giants, but at least one expert sees a potential downside. 2002-09-18T04:00:00Z HTML http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/Eliminating-the-stigma-of-mental-illness-is-the-fi/ArticleStandard/Article/detail/31948?contextCategoryId=972&ref=25 Mental disorders cost employers $300 billion per year, but progress can't be made until patients are comfortable with seeking treatment 2002-09-01T04:00:00Z PDF http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/Complexities-of-cancer-require-its-management-to-b/ArticleStandard/Article/detail/28806?contextCategoryId=972&ref=25 Health plans emphasize a more personal touch and look to physicians to take the lead in the fight against a complicated disease 2002-08-01T04:00:00Z PDF http://managedhealthcareexecutive.modernmedicine.com/mhe/Lead+Item/Successful-e-DM-initiatives-rely-on-the-connectivi/ArticleStandard/Article/detail/25494?contextCategoryId=972&ref=25 Plans embrace programs that engage the provider and make patients responsible for their own care 2002-07-01T04:00:00Z PDF http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/Disease-Management-Comes-of-Age-Not-a-Moment-too-S/ArticleStandard/Article/detail/135286?contextCategoryId=972&ref=25 Effective variations on chronic disease care have arrived just in time to battle double-digit health care inflation. 2002-06-19T04:00:00Z HTML http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/Managing-the-Disease/ArticleStandard/Article/detail/135287?contextCategoryId=972&ref=25 Tips on creating your own disease management program. 2002-06-19T04:00:00Z HTML http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/Plans-adopt-patient-centered-approaches-to-treat-r/ArticleStandard/Article/detail/22080?contextCategoryId=972&ref=25 Education, self-management skills and medication compliance are the goals for patients who struggle to understand their conditions 2002-06-01T04:00:00Z PDF http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/Accrediting-groups-devise-national-standards-to-br/ArticleStandard/Article/detail/20074?contextCategoryId=972&ref=25 Caseworker mechanisms, self care must better integrate to earn seals of approval 2002-05-01T04:00:00Z PDF http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/Proactive-disease-management-efforts-drastically-r/ArticleStandard/Article/detail/17316?contextCategoryId=972&ref=25 Identifying chronic kidney disease early, educating PCPs and empowering patients helps prevent co-morbidities of ESRD 2002-04-01T05:00:00Z PDF http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/Health-plans-juggle-precarious-patients-PDF/ArticleStandard/Article/detail/12408?contextCategoryId=972&ref=25 High-risk clinics and telephonic care can help manage multiple disease states 2002-03-01T05:00:00Z PDF http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/Teamwork-empowers-patients-through-self-care-educa/ArticleStandard/Article/detail/9954?contextCategoryId=972&ref=25 Highly visible asthma programs can fuel favorable perceptions with employers and members 2002-02-01T05:00:00Z PDF http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/Designing-DM-programs-for-CMS-bonus-payments-PDF/ArticleStandard/Article/detail/6349?contextCategoryId=972&ref=25 Fledgling Medicare+Choice initiative offers promise as successful CHF programs have sprung up nationwide, but what's next? 2002-01-01T05:00:00Z PDF http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/Healthcare-providers-empower-patients-to-help-moni/ArticleStandard/Article/detail/5283?contextCategoryId=972&ref=25 Length of hospital stays and patient costs can be mitigated with the proper self-care systems 2001-12-01T05:00:00Z PDF http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/Online-DM-programs-must-balance-accessibility-agai/ArticleStandard/Article/detail/6207?contextCategoryId=972&ref=25 HIPAA compliance will help, but frequent use of disclaimers also can short-circuit some serious legal ramifications 2001-11-01T05:00:00Z PDF http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/Calling-Employers-to-Action/ArticleStandard/Article/detail/135467?contextCategoryId=972&ref=25 The roundtable members had no doubt that employers could play a big role in improving America's health -- and that they'd benefit from the effort. Then they got down to strategies and tactics. 2001-10-31T05:00:00Z HTML http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/Making-the-New-Guidelines-Work/ArticleStandard/Article/detail/135472?contextCategoryId=972&ref=25 New guidelines from the National Cholesterol Education Program suggest more aggresive treatment of many more people. 2001-10-31T05:00:00Z HTML http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/Roundtable-Participants/ArticleStandard/Article/detail/135471?contextCategoryId=972&ref=25 Bios on the roundtable participants from the Fortress Around the Heart special report. 2001-10-31T05:00:00Z HTML http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/Motivating-Change/ArticleStandard/Article/detail/135469?contextCategoryId=972&ref=25 Finding the right price to help people switch to healthier lifestyles. 2001-10-31T05:00:00Z HTML http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/The-Case-for-Lipid-Control/ArticleStandard/Article/detail/135425?contextCategoryId=972&ref=25 Reducing the amount of fat in the blood is the key weapon against heart disease, and the battle plan recently changed. 2001-10-31T05:00:00Z HTML http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/The-Disease-of-Affluence/ArticleStandard/Article/detail/135468?contextCategoryId=972&ref=25 To a great extent, Americans clog their arteries because they can afford to. This is how deadly disease develops. 2001-10-31T05:00:00Z HTML http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/Measuring-Value/ArticleStandard/Article/detail/135473?contextCategoryId=972&ref=25 There is an inherent logic in the assumption that a healthy person is probably going to do more and better work than an unhealthy person, but employers also want more specific evidence of a return on their investment in health care. 2001-10-31T05:00:00Z HTML http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/The-Challenge-of-Treatment/ArticleStandard/Article/detail/135470?contextCategoryId=972&ref=25 Lifestyle changes are effective but very hard to achieve. Medication works, but patient compliance with treatment regimens is far from guaranteed. 2001-10-31T05:00:00Z HTML http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/Team-approach-prevents-diabetes-problems-from-fall/ArticleStandard/Article/detail/6208?contextCategoryId=972&ref=25 The challenge for plans will be to merge the individual needs of patients with 'cookbook' population control 2001-10-01T04:00:00Z PDF http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/Most-hypertension-uncontrolled/ArticleStandard/Article/detail/135453?contextCategoryId=972&ref=25 News brief. 2001-10-01T04:00:00Z HTML http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/In-the-Tar-Wars-against-tobacco-use-the-PCP-is-on-/ArticleStandard/Article/detail/6209?contextCategoryId=972&ref=25 Though MCO infrastructures can offer some support, the task of identifying smokers falls squarely on the shoulders of PCPs 2001-09-01T04:00:00Z PDF http://managedhealthcareexecutive.modernmedicine.com/mhe/Disease+Management/The-drawbacks-of-provider-choice/ArticleStandard/Article/detail/135378?contextCategoryId=972&ref=25 Data watch. 2001-05-01T04:00:00Z HTML