McKay Niccie L
Department of Health Services Research, Management and Policy, University of Florida, Gainesville, Florida, USA.
J Health Care Finance. 2006 Spring;32(3):53-65.
Private and public payors increasingly are turning to disease management programs as a means of improving the quality of care provided and controlling expenditures for individuals with specific medical conditions. This article presents a generic model that can be adapted to evaluate payor net cost savings from a variety of types of disease management programs, with net cost savings taking into account both changes in expenditures resulting from the program and the costs of setting up and operating the program. The model specifies the required data, describes the data collection process, and shows how to calculate the net cost savings in a spreadsheet format. An accompanying hypothetical example illustrates how to use the model.
私立和公立支付方越来越多地转向疾病管理项目，以此作为提高所提供护理质量以及控制特定疾病患者医疗支出的一种手段。本文提出了一个通用模型，该模型可加以调整，以评估各类疾病管理项目给支付方带来的净成本节约情况，其中净成本节约既考虑了项目导致的支出变化，也考虑了设立和运营该项目的成本。该模型明确了所需数据，描述了数据收集过程，并展示了如何以电子表格格式计算净成本节约情况。文中附带的一个假设示例说明了如何使用该模型。
