Health Affairs

Health Affairs, 27, no. 3 (2008): 855-864 doi: 10.1377/hlthaff.27.3.855 © 2008 by Project HOPE	New Online   Getting Health Reform Done   After the State of the Union   Incremental Reform   E-Health in Developing World   Most-Read Articles in 2009

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DataWatch

The Net Fiscal Impact Of A Chronic Disease Management Program: Indiana Medicaid

Ann M. Holmes, Ronald D. Ackermann, Alan J. Zillich, Barry P. Katz, Stephen M. Downs and Thomas S. Inui

In 2003 the Indiana Office of Medicaid Policy and Planning implemented the Indiana Chronic Disease Management Program (ICDMP). This paper reports on the fiscal impact of the ICDMP from the state’s perspective, as estimated from the outcomes of a randomized trial. Medicaid members with congestive heart failure (CHF) or diabetes, or both, were randomly assigned by practice site to chronic disease management services or standard care. The effect of the ICDMP varied by disease group and risk class: while cost savings were achieved in the CHF subgroup, disease management targeted to patients with only diabetes resulted in no significant fiscal impact.

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