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Medicine & Chronic Illness

PERSPECTIVE

Toyotas Or Hush Puppies? Physician Organizations And Chronic Care Management

Chronic care management has made a business case in entities with "industrial strength"—those integrated systems of care where financial, market, and clinical incentives align. For staff/group-model health maintenance organizations (HMOs), it works on both the revenue and expense sides of the ledger. Capitation provides the system with money in advance to invest in the appropriate personnel to create a continuum of services to manage disease and to keep people healthier and out of the hospital. The system reaps the financial savings from reduced hospitalizations: a return on investment.¹ The other kind of industrial-strength entity is the integrated delivery system (IDS), . . . [Full Text of this Article]

What Stands In The Way?

 
Motivations.Impediments.

What Will It Take?

 

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				T. Bodenheimer, E. H. Wagner, and K. Grumbach Improving Primary Care for Patients With Chronic Illness: The Chronic Care Model, Part 2 JAMA, October 16, 2002; 288(15): 1909 - 1914. [Abstract] [Full Text] [PDF]