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THE PHARMA REVIEW (MAY JUNE 2014)

Why Most Care Management Programs Fail to Deliver Results

Kirit Pandit

Introduction: It is now fairly common knowledge that Care Management (CM) programs have had mixed success in reducing the Per Member Per Month (PMPM) cost for a population. There are many publications that site case studies and compile savings and ROI numbers for care management programs across the country in the last 5 years. The results are all over the place. These research publications conclude that most CM programs that are successful are those that are highly integrated, high touch programs. 

 

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