Disease burden profiles: an emerging tool for managing managed care
Department of Quantitative Health Sciences
Chronic Disease; Cohort Studies; Community Health Planning; Cost Control; *Cost of Illness; Diabetes Mellitus; Diagnosis-Related Groups; Disease Management; Health Care Costs; Humans; Insurance Claim Review; Insurance Coverage; Insurance, Health; Managed Care Programs; Medicaid; Prevalence; Risk Adjustment; Risk Assessment; United States
Biostatistics | Epidemiology | Health Services Research
As health plans assume financial risk for providing health care services, effectively managing the health of a population remains one of the toughest challenges. This article shows how risk assessment methods can be used to measure disease burden in the full population and to discriminate levels of future health care needs within specific disease cohorts. We also examine and compare the predictive power of claims-based models within a diabetic cohort.
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Citation: Health Care Manag Sci. 2002 Aug;5(3):211-9. Link to article on publisher's site
Health care management science
Zhao, Yang; Ash, Arlene S.; Ellis, Randall P.; and Slaughter, James P., "Disease burden profiles: an emerging tool for managing managed care" (2002). Quantitative Health Sciences Publications and Presentations. 711.