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Disease Prevention and Condition Management

Disease Prevention and Condition Management Resources focus on programs and solutions that seek to prevent, treat and manage both acute and chronic conditions. About one in three Americans has at least one chronic disease.1 The estimated economic impact of chronic disease is $1.3 trillion annually, a figure that is projected to rise significantly over the next few years.1

An acute episode of pneumonia or a motor vehicle accident might lead to an expensive hospitalization for an otherwise healthy employee, resulting in that employee falling into the top one percent of medical costs for that year but have few expenses in subsequent years.

Similarly, many people have chronic conditions, such as diabetes and asthma, which are fairly expensive to treat on an ongoing basis for the rest of their lives, but in most years will not result in them landing at the very top of health care spenders.2 However, each year some of those with chronic conditions will have acute episodes or complications requiring a hospitalization or other more expensive treatment.2 Employers must effectively balance prevention and management to support a healthy workforce.

Resources for Disease Prevention and Condition Management include:

  • Calculators for assessing the significant costs of preventable conditions;
  • The business case for preventive care;
  • Guidance on creating evidence-based health benefits;
  • Recommendations for developing policies and implementing disease and condition management programs; and
  • Case examples from large employers.

Watch the video, A Pioneering Way to Measure Health Care Quality in which Helen Darling discusses a new tool that measures health outcomes. The Global Cardiovascular Risk (GVCR) score is very promising and will benefit employers.

References (show references)

1 The Milken Institute. Fact sheet: the economic burden of chronic disease on the United States. October 2007. Accessed September 18, 2012.

2 Stanton MW. The High Concentration of U.S. Health Care Expenditures. Research in Action, Issue 19. AHRQ Publication No. 06-0060, June 2006. Agency for Healthcare Research and Quality, Rockville, MD. Accessed September 18, 2012.

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