Care Management

What Strategies Will Payers Pursue in 2009?

Publication Date	December 2008
Publisher	IDC
Product Type	Report
Pages	20
ISBN Number	not applicable
Product Code	IDC06451

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Summary

This Health Industry Insights report presents the results of our 2008 survey of chief medical officers (CMOs) or their direct reports regarding care navigation and care management strategies. This document examines key care management initiatives, IT spending priorities to support them, and what is driving/impeding them.

"The costs associated with treating chronic conditions are staggering and burdening healthcare systems worldwide. In the United States, treating chronic conditions accounts for more than 75% of the nation's $2.3 trillion health expenditure. Not surprisingly, reducing medical and pharmaceutical costs, along with improving the quality of patient care and outcomes, continues to be among the top drivers for care management initiatives. As a nation in the face of a worsening economy and significant budget constraints experienced by all stakeholders, we can no longer afford to reimburse for healthcare that is not effective, and we must find ways to engage consumers in health and wellness programs, especially preventative care," states Lynne A. Dunbrack, program director, Health Industry Insights.

Content

Health Industry Insights Opinion
In This Report
- Methodology
- Figure: Health Plan Distribution by Membership Size
- Respondent Demographics
- Figure: Respondents by Role Related to Care Management
- Figure: Respondents by Current Title or Role
Situation Overview
- Introduction
- Survey Findings
- Figure: Top 3 Care Management Initiatives
- Figure: Top 3 Drivers for Care Management Initiatives
- Figure: Top 3 Barriers for Care Management Initiatives
- Figure: Budget Comparisons: 2008 Versus 2009
- Figure: Status of Care Management Tools Used by the Health Plan
- Figure: Status of Care Management Tools Used by Members for Disease Self-Management
- Figure: Status of Care Management Tools Used by the Provider Network
- Figure: Status of Deploying Analytic Tools for Care Management
- Figure: Status of Care Management Programs: Insourcing Versus Outsourcing
Future Outlook
Essential Guidance
- For Payers
- For Vendors
Learn More
- Related Research
- Synopsis