Case Management / Disease Management Abstract

Michigan Medicaid developed a comprehensive assessment of disease and case management programs in contracted health plans, focusing on integration, staffing, stratification, registries, and evaluation.  Criteria were developed collaboratively with Michigan States University's Institute for Health Care Studies and DMAA.  Written assessments were conducted for each plan, followed by on-site interviews.  Pre-assessment and on-site findings were combined and analyzed for each targeted review element.  Results were documented for each plan and aggregated across all plans.  Commonalities and differences were identifies, along with best practices among the plans.  Plan-specific reports were disseminated, and aggregate findings were reported to MDCH.  MDCH has included this activity in the Medicaid performance bonus and will work with plans to integrate and improve disease and case management programs.

Project Contact: Stacey Duncan-Jackson