Chronic illnesses such as arthritis, heart disease, and diabetes afflict many individuals and create major costs for Medicare. Most Medicare HMOs have developed programs or contracted with disease management or case management providers for programs designed to improve care for people with...

Research during the past decade suggests that successful care coordination programs usually have several features. These include effective patient identification, highly qualified staff, physician buy-in, and financial incentives aligned with program goals. Successful programs also offer a...

This report evaluated Mercy Medical Center North Iowa and Health Quality Partners, two providers in the Medicare Coordinated Care Demonstration, a rigorous multiyear evaluation sponsored by the Centers for Medicare & Medicaid Services (CMS) to determine if care coordination improves quality of...

Before Medicare Part D, Congress authorized the Medicare disease management demonstration to evaluate whether disease management programs—in conjunction with a comprehensive prescription drug benefit—could improve health outcomes and reduce Medicare expenditures. The demonstration...