Our Programs
Disease and Case Management
Effectively Managing Patients and Reducing Healthcare Costs
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QMed is a leader in providing health improvement programs for some of today's most serious and costly chronic diseases. Our comprehensive programs address multiple disease states to seamlessly and proactively identify and meet the needs of high-risk and chronically ill patients. Cardiovascular disease, |
including heart disease and stroke, heart failure, diabetes, chronic obstructive pulmonary disease, asthma, obesity, and their associated co-morbidities account for more than 42% of an overall national healthcare expense of nearly $1.8 trillion. At the current rate of increase, it is estimated that healthcare costs will reach $2.8 trillion by 2010. Controlling chronic disease progression presents the greatest opportunity to reduce hospitalizations, improve patient health and manage healthcare costs.
Historically, healthcare providers attempted to manage soaring healthcare costs by focusing on controlling individual components of care. These efforts were largely ineffectual because, reducing the costs of some components often led to increases in others.
In contrast, our programs take into account proactive management and monitoring of all critical aspects of patient care—integrating identification of at-risk patients, proactive intervention to prevent progression of disease, customized protocols and ongoing evaluation to help achieve improved outcomes for patients, and cost savings for healthcare providers and health plans.
A Unique Approach for Better Outcomes
Our approach to disease management is distinguished and demonstrated on a consistent basis. We empower patients and engage physicians using a comprehensive, integrated technology-based and team-supported network.
Empowering Patients. Engaging Physicians.
| Designed to the specific needs of each patient, QMed's Programs incorporate and coordinate all vital elements of individual care, including education and self-management tools, psychosocial support, case and disease management, recommendations of appropriate prescription medications, as well as coordination with primary and specialty physician care. |
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Our hands-on approach to chronic disease management is, perhaps, the hallmark of QMed's model. We believe that physicians are the key to quality health care. Our nurses and Care Managers are in direct, personal contact with physicians and patients from the initiation of the engagement process. They become an integral part of the multi-disciplinary team for every patient case. Our Care Managers interact with patients on a regular basis, teaching them how to self-manage their disease and monitor their personal progress.
Clinical Information Management Systems—
A Virtual Network of Support
Our robust database of information contains data from a large array of sources, creating an electronic medical record or fingerprint of each patient. Through our sophisticated technology platform, this information is analyzed and compared to national guidelines of evidence-based medicine which are provided to physicians as up-to-the-minute recommendations.
Our innovative, evidence-based healthcare information systems are instrumental in delivering significantly improved health outcomes and managing patients with chronic diseases. Our technology and information support are designed to meet the varying needs of our health plan and physician partners, ultimately driving health improvements through individualized, dynamic care plans—resulting in major cost savings for healthcare providers and health plans.
QMed's healthcare information systems:
- Link primary physicians, specialists and care managers to a computerized knowledge base creating a virtual network of support for each patient
- Analyze risk factors based on individual patient information and statistical data
- Conduct biometric and digital ischemic monitoring to generate prognoses and therapeutic recommendations where appropriate
Our healthcare information systems support proven results:
- Individualized treatment plans improving the coordination and effectiveness of care for chronically ill patients
- Consistency in practicing evidence-based medicine
- Fewer days of hospitalization per case
- Coordinated care to address patients' medical, educational and psychosocial needs
- Better patient compliance with their treatment program
Proven Outcomes, Increased Savings
We are proud to serve over 7,000 physician-partners and improve health outcomes for over 200,000 patients actively enrolled in our programs. Our current national reach includes more than 1.6 million people covered by private health plans and 375,000 people covered by Medicare Advantage. We understand that patient and provider involvement and satisfaction is crucial to improving health outcomes. Our proactive approach and proven results have been successfully evaluated in at least 5 distinct, managed-care settings, including insurance product lines affecting Commercial and Medicare members.
- Quantifiable, meaningful improvement in clinical outcomes and reduction in acute events and procedures
- Reductions in overall healthcare costs
- Improved patient health across a variety of risk factors
- High levels of patient and physician satisfaction
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