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

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

Research output: Contribution to journalArticle

20 Citations (Scopus)

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

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Medicaid
Disease Management
Chronic Disease
Disease
management
Heart Failure
chronic illness
Cost Savings
savings
planning
costs
Group

ASJC Scopus subject areas

  • Nursing(all)
  • Health(social science)
  • Health Professions(all)
  • Health Policy

Cite this

The net fiscal impact of a chronic disease management program : Indiana medicaid. / Holmes, Ann; Ackermann, Ronald D.; Zillich, Alan J.; Katz, Barry; Downs, Stephen; Inui, Thomas.

In: Health Affairs, Vol. 27, No. 3, 05.2008, p. 855-864.

Research output: Contribution to journalArticle

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