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Five factors that can be used to assess the advancement level of a particular IDN include provider alignment, continuum of care, regional presence, clinical integration, and reimbursement. [5] Between 2013 and 2017, healthcare providers created 11 new integrated delivery systems from joint ventures with insurance companies. [6]
The Care Continuum Alliance (formerly DMAA: The Care Continuum Alliance [1]) is an industry trade group of corporations and individuals that "promotes the role of population health improvement in raising the quality of care, improving health outcomes and reducing preventable health care costs for individuals with chronic conditions and those at risk for developing chronic conditions". [2]
Continuity of health care (also called continuum of care [3]) is to what degree the care is coherent and linked, in turn depending on the quality of information flow, interpersonal skills, and coordination of care. [4] Continuity of health care means different things to different types of caregivers, and can be of several types:
Managed care plans and strategies proliferated and quickly became nearly ubiquitous in the U.S. However, this rapid growth led to a consumer backlash. Because many managed care health plans are provided by for-profit companies, their cost-control efforts are driven by the need to generate profits and not providing health care. [5]
In the United States, disease management is a large industry with many vendors. Major disease management organizations based on revenues and other criteria [5] [6] include Accordant (a subsidiary of Caremark), Alere (now including ParadigmHealth and Matria Healthcare), [7] Caremark (excluding its Accordant subsidiary), Evercare, Health Dialog, Healthways, LifeMasters (now part of StayWell ...
The provider network is required to include sufficient primary care physicians to serve its enrollees. [17] The ACO must define processes to promote evidence-based medicine and patient engagement, monitor and evaluate quality and cost measures, meet patient-centeredness criteria and coordinate care across the care continuum. Prior to applying ...
The company is the product of a 2014 merger between Beacon Health Strategies, LLC and ValueOptions, Inc. [3] The company rebranded as Carelon Behavioral Health in 2023. [4] The company currently employs 4,700 people nationwide, serving over 40 million people.
Many well-known prevention and treatment strategies have already proven effective for saving young lives. Childhood vaccinations have successfully reduced deaths due to measles. Oral rehydration therapy has contributed to a major reduction in diarrhea deaths. Effective antibiotics have saved millions of children with pneumonia.