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3 years ago

Tx Firm

Tx Firm

Two Concerns High (and

Two Concerns High (and rising) Costs Poor Quality Premiums rose 87% since 2000* Response: • Raise Copays About 50% of time appropriate care is not delivered** Response: • Disease Management • P4P *Kaiser Family Foundation/HRET: www.kff.org/insurance/ehbs092606nr.cfm **McGlynn et al The quality of health care delivered to adults in the United States. N Engl J Med 2003;348(26):2635-45

Copays Within and Outside of Disease Management 60.0% percent of enrollees 50.0% 40.0% 30.0% 20.0% 10.0% 0.0% 0 10 copay amount (preferred branded) Not DM DM Source: Chernew, M.E., Rosen, A.B., Fendrick, A.M. “Rising out-of-pocket Costs in Disease Management Programs”. American Journal of Managed Care. 2006. 12: 150-155.

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