Disease Management and Medicaid Waiver Services for HIV/AIDS Patients. Appendix A
Approved Medicaid Waivers Offering Services Targeted to Individuals with HIV/AIDS
Disease Management and Medicaid Waiver Services for HIV/AIDS Patients. Conclusion
To date, there is no broad evidence base to support the assumption that disease management improves health outcomes and can reduce the cost of care for populations with multiple chronic illnesses. Most of the evidence currently available about DM is for diabetes, asthma, congestive health failure, and chronic obstructive pulmonary disease &nda
Disease Management and Medicaid Waiver Services for HIV/AIDS Patients. Disease Management for HIV/AIDS
Antiretroviral treatment has extended the lifespan of people with HIV infection, and more people become infected with HIV than die from the disease each year. Since the mid-1990s, the age-adjusted HIV death rate has declined by more than 70 percent (Kaiser Family Foundation, 2008). As more people with HIV infection live longer, the demand for HIV
Disease Management and Medicaid Waiver Services for HIV/AIDS Patients. Medicaid Disease Management
A 2003 study of three Medicaid DM programs (for all chronic conditions, not HIV-specific DM) indicated that the states’ varied program designs produced short-term net savings and improved outcomes in their patient populations (Gillespie & Rossiter, 2003). Because of the variability in the programs reviewed and the range of chronic co
Disease Management and Medicaid Waiver Services for HIV/AIDS Patients. Disease Management for Complex Medical Conditions
In January 2008, the HHS Office of the Assistant Secretary for Planning and Evaluation (ASPE) convened an expert panel to discuss outcomes measurement issues related to DM for populations with chronic conditions. The panel included researchers and clinicians, and the discussion noted that the inconsistency in methodologies used to evaluate DM prog
Disease Management and Medicaid Waiver Services for HIV/AIDS Patients. Disease Management: Findings from the Literature
Mixed results from studies of disease management programs in general indicate there is no conclusive evidence of the impact of the programs on cost-effectiveness and health outcomes. According to the Congressional Budget Office’s 2004 analysis of disease management studies for several chronic diseases, there is insufficient evidence to c
Disease Management and Medicaid Waiver Services for HIV/AIDS Patients. Background
The prevalence of chronic disease in the U.S. is a significant public health issue. About 133 million people, almost half of all Americans, have at least one chronic health condition – for example, heart disease, asthma, or diabetes. The Centers for Disease Control and Prevention (CDC) estimates that chronic diseases account for 70% of a
Disease Management and Medicaid Waiver Services for HIV/AIDS Patients. Introduction
Disease management (DM) refers to a system of coordinated health care interventions and communications to help patients self-manage their chronic diseases and prevent complications from these health conditions. DM has been touted by vendors as an effective tool to reduce health care costs. Some DM vendors have claimed that disease management progr
Disease Management and Medicaid Waiver Services for HIV/AIDS Patients. Executive Summary
Disease management (DM) is a system of coordinated health care interventions and communications to help patients self-manage their chronic diseases and prevent complications from these health conditions.
Disease Management and Medicaid Waiver Services for HIV/AIDS Patients
This paper examines the limited evidence to date on the impact of disease management (DM) for low-income populations enrolled in public insurance programs, and explores issues concerning the effectiveness of DM targeted to people living with HIV/AIDS.
report.pdf
PDF
Core Intervention Components: Identifying and Operationalizing What Makes Programs Work
rb_CoreIntervention.pdf
Emerging Practices in Medicaid Primary Care Case Management Programs. Endnote
1. In general, "TANF" refers to other poverty-related populations in addition to TANF beneficiaries. However, Alabama makes a distinction between SOBRA women and SOBRA children; SOBRA children are mandatorily enrolled, while SOBRA adults are not eligible.
Emerging Practices in Medicaid Primary Care Case Management Programs. Appendix C
Case Study States' Enrollment Policies
Alabama
Florida
Iowa
Maine
North Carolina
Oklahoma
Texas
Virginia
Patient 1 st
Emerging Practices in Medicaid Primary Care Case Management Programs. Appendix B: North Carolina Access II & III Core Elements of the Asthma Disease Management Program
Build Capacity for Routine Assessment of Asthma
Emerging Practices in Medicaid Primary Care Case Management Programs. Appendix A: Case Study States' Contacts
Charlene J. Benson
Director, Medicaid Care Management
Oklahoma Health Care Authority
4545 North Lincoln Suite 124
Oklahoma City, OK 73105
405-522-7366
bensonc@ohca.state.ok.us
Scott F. Cannady
Managed Care Unit Supervisor
Department of Medical Assistance Services
P.O. Box 537
Richmond, VA 23204
804-786-5445
SCannady@dmas.
