Improving The Management Of Care For High- Cost Medicaid Patients

Billings, J. & Mijanovich, T.
Health Affairs, Nov/Dec 2007, Vol. 26 Issue 6, p1643-1655, 13p.

The article discusses the improvement of care management for high-cost Medicaid patients. It explores on Medicaid budgets which have prompted policymakers to redouble efforts to explore ways of boosting efficiency in care delivery, particularly for people with high-cost and chronic conditions. It also illustrates John Billings and Tod Mijanovich's article which examines the cost-effectiveness of care management for chronic disease patients treated in fee-for-service practice. The authors present an algorithm that identifies patients at high risk of future hospitalizations and offer a business-case analysis about the rate of reduction in future hospitalization and the cost of the intervention.

Wagner Faculty