Care Cycle Management Essay example

1196 Words 5 Pages
EVOLUTION
OF
THE
BUSINESS
MODEL
 
 
 Health
care
reform
has
spawned
a
new
industry
called
Care
Cycle
Management.

Care
Cycle
 Management
involves
caring
for
the
sickest
25%
of
the
population
that
cost
the
healthcare
system
85%
of
 total
healthcare
expenditures1
by
coordinating
the
patient’s
care
so
that
the
majority
is
provided
in
the
 patient’s
home.

There
are
four
core
activities
that
make
this
evolving
industry
the
center
and
future
of
 chronic
care
disease
management.
 
 1. Remote
patient
monitoring:

Daily
monitoring
of
chronically
ill
patients’
alerts
the
providers
to
a
 potential
exacerbation
of
their
condition
that
could
otherwise
result
in
a
hospitalization.
Strategic
 interventions
by
the
clinical
monitoring
staff
provide …show more content…
The
establishment
of
the
Care
Cycle
Management
Industry
comes
from
research
completed
and
 published
by
Michael
Porter
and
Elizabeth
Olmsted
Teisberg
in
their
book
“Redefining
Health
Care.”

They
 discuss
the
idea
of
organizing
physician
practices
around
“care
cycles”
for
the
benefit
of
coordinating
 patient
care.

Porter
and
Teisberg
describe
effective
care
management
with
the
care
cycle
for
most
 medical
conditions,
“beginning
with
screening
and
prevention
and
extending
all
the
way
through
 treatment,
recovery,
on‐going
monitoring
and
active
disease
management
in
the
case
of
chronic
 1


“High‐Cost
Medicare
Beneficiaries,”
Congressional
Budget
Office,
p.4,
May
2005
 th 1776
I
Street
NW,
9 
Floor

∙

Washington,
DC
20006
 Telephone:

202‐559‐8996

∙

Facsimile:

202‐315‐3171
 www.wyattmatas.com


illnesses.”

The
value
for
the
patient
comes
from
the
overall
effect
of
the
care
coordination
and
sequence
 of
activities
and
not
from
any
individual
service.2


 
 Unfortunately,
today’s
healthcare
system,
especially
the
traditional
disease
management
companies
 and
physician
practices,
are
not
designed
to
manage
the
entire
care
cycle
effectively.

Home
healthcare
 agencies,
while
potentially
equipped
to
manage
the
care
cycle,
are
only
reimbursed
on
an
episodic
basis,
 which
leaves
the
chronically
ill

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