Assessing the inaccuracy of traditional actuarial methodologies for measuring medical home and disease management outcomes with real-life examples of the mathematical flaws, drawn from North Carolina Medicaid's patient-centered medical home program and elsewhere
Trends in health plans and vendors using changes in adverse event rates to estimate or confirm overall program impact
Interpreting outcomes reports and finding the fallacies within reports and analyzing reports for key information to gauge the relevance and depth of the study
Step-by-step instructions in implementing a valid event rate-based methodology, with real-life examples from leaders such as Harvard Pilgrim and Providence Health Plans
How to resolve conflicting outcomes reports to create a cost-effective care management strategy
Alfred (Al) Lewis, JD
Founder and President, Disease Management Purchasing Consortium International;
Author of OOBonomics: 12 Great "Outside of the Box" Policy Ideas No One Has Thought of... Until Now View Biography