TY - JOUR
T1 - The 3-year disease management effect
T2 - Understanding the positive return on investment
AU - Nyman, John A
AU - Jeffery, Molly Moore
AU - Abraham, Jean M
AU - Jutkowitz, Eric
AU - Dowd, Bryan E
PY - 2013/11
Y1 - 2013/11
N2 - OBJECTIVE:: Conventional wisdom suggests that health promotion programs yield a positive return on investment (ROI) in year 3. In the case of the University of MinnesotaÊ?s program, a positive ROI was achieved in the third year, but it was due entirely to the effectiveness of the disease management (DM) program. The objective of this study is to investigate why. METHODS:: Differences-in-differences regression equations were estimated to determine the effect of DM participation on spending (overall and service specific), hospitalizations, and avoidable hospitalizations. RESULTS:: Disease management participation reduced expenditures overall, and especially in the third year for employees, and reduced hospitalizations and avoidable hospitalizations. CONCLUSIONS:: The positive ROI at Minnesota was due to increased effectiveness of DM in the third year (mostly due to fewer hospitalizations) but also to the simple durability of the average DM effect.
AB - OBJECTIVE:: Conventional wisdom suggests that health promotion programs yield a positive return on investment (ROI) in year 3. In the case of the University of MinnesotaÊ?s program, a positive ROI was achieved in the third year, but it was due entirely to the effectiveness of the disease management (DM) program. The objective of this study is to investigate why. METHODS:: Differences-in-differences regression equations were estimated to determine the effect of DM participation on spending (overall and service specific), hospitalizations, and avoidable hospitalizations. RESULTS:: Disease management participation reduced expenditures overall, and especially in the third year for employees, and reduced hospitalizations and avoidable hospitalizations. CONCLUSIONS:: The positive ROI at Minnesota was due to increased effectiveness of DM in the third year (mostly due to fewer hospitalizations) but also to the simple durability of the average DM effect.
UR - http://www.scopus.com/inward/record.url?scp=84888131230&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84888131230&partnerID=8YFLogxK
U2 - 10.1097/JOM.0b013e3182a4fffe
DO - 10.1097/JOM.0b013e3182a4fffe
M3 - Article
C2 - 24164767
AN - SCOPUS:84888131230
SN - 1076-2752
VL - 55
SP - 1356
EP - 1364
JO - Journal of occupational and environmental medicine
JF - Journal of occupational and environmental medicine
IS - 11
ER -