Early this year, CMS began a per member per month reimbursement for Medicare beneficiaries with two or more chronic conditions. It immediately validated the need for care management programs. Three models are used to measure the savings of an effective care management program:
Historical or intent-to-treat design
Matching comparison design
Randomized control design
All three place a heavy reliance on data and precise, tailored patient registries. Reliable patient registries are one of the most valuable tools in the care management toolbox. And the means to that reliability is an enterprise data warehouse, which essentially gives program managers an all-access pass to stratifying patient risk and leads to a more successful population health initiative.