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Disease Management Cases | Open Access Journals
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International Journal of Public Health and Safety

ISSN: 2736-6189

Open Access

Disease Management Cases

Overall, both case management (CM) and disease management (DM) are vital to reduce healthcare costs by helping  beneficiaries control their disease and prevent excessive utilization. However, there are differences in their approach. DM can improve quality care for members with chronic disease. It facilitates healthy lifestyles by focusing on prevention (eg, modifies risk factors), reducing hospitalization (eg medication adherence), and healthcare access. CM improves quality and patient experience by coordinating hospital care. It ensures that the hospital care utilizes the least restrictive & clinically appropriate alternatives. CM is tailored to the individual and focuses on a single patient; DM is meant for the population, using an integrated and multi-level approach. DM is for all health plan members, tailored particularly to the 15% to 25% of members at high risk.

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