The net fiscal impact of a chronic disease management program: Indiana medicaid

Ann M. Holmes, Ronald D. Ackermann, Alan J. Zillich, Barry P. Katz, Stephen M. Downs, Thomas S. Inui

Research output: Contribution to journalArticle

20 Scopus citations

Abstract

In 2003 the Indiana Office of Medicaid Policy and Planning implemented the Indiana Chronic Disease Management Program (ICDMP). This paper reports on the fiscal impact of the ICDMP from the state's perspective, as estimated from the outcomes of a randomized trial. Medicaid members with congestive heart failure (CHF) or diabetes, or both, were randomly assigned by practice site to chronic disease management services or standard care. The effect of the ICDMP varied by disease group and risk class: while cost savings were achieved in the CHF subgroup, disease management targeted to patients with only diabetes resulted in no significant fiscal impact.

Original languageEnglish (US)
Pages (from-to)855-864
Number of pages10
JournalHealth Affairs
Volume27
Issue number3
DOIs
StatePublished - May 1 2008

ASJC Scopus subject areas

  • Health Policy

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