Accession Number : ADA185889

Title :   Medical Case Management: Is It Cost Effective for the Employer?.

Descriptive Note : Master's thesis,

Corporate Author : AIR FORCE INST OF TECH WRIGHT-PATTERSON AFB OH

Personal Author(s) : Swartzbaugh, Dennis J

PDF Url : ADA185889

Report Date : Jun 1987

Pagination or Media Count : 113

Abstract : The purpose of this study was to answer two questions: 1) Is case management cost effective from the perspective of the employer? and 2) What variables will explain the net savings realized by the employer? Findings may be useful in changing the selection criteria to identify possible cases for management. Case management is cost effective for the employer. In this study for every $1.08 spent on case management services, $4.83 was saved based upon the projected savings in medical expenses. This return is accomplished with 70% of the cases resulting in negative net savings. This indicates that more stringent selection criteria should be used in identifying cases for management. Case management is a process used by employers to oversee and coordinate the medical care received by patients. The purpose is to provide a tailored plan of care for the patient that will reduce time and minimize the cost of care. Case management is a process of planning, communicating, and coordinating the appropriate resources necessary to respond to the health care needs of the individual. The process brings together the right people, in the right place, at the right time, to provide the right services to the patient.

Descriptors :   *MEDICAL SERVICES, *SELECTION, *MANAGEMENT PLANNING AND CONTROL, *COST EFFECTIVENESS, COSTS, HEALTH, MANAGEMENT, MEDICINE, PLANNING, SAVINGS, THESES, TIME, HEALTH SURVEYS, HEALTH, PATIENTS

Subject Categories : Medicine and Medical Research
      Administration and Management

Distribution Statement : APPROVED FOR PUBLIC RELEASE