Much research has been done on the costs associated with asthma management, but a concrete methodology for helping health plans understand the impact of care management is very much missing. Today, health plans use various methods to identify the claims costs associated with asthma. These methods include:
- Data Analysis: Health plans collect and analyze data on the utilization of health services by individuals with asthma, including the number of doctor visits, hospitalizations, and prescription medications used. This information is used to determine the total cost of care for individuals with asthma, including both direct and indirect costs.
- Cost Modelling: Health plans use cost modelling techniques to estimate the cost of care for individuals with asthma based on various factors such as demographics, health status, and treatment patterns. This information is used to develop cost projections for future years and to assess the impact of changes in treatment patterns on costs. This can be done on a variety of basis’ including PMPM.
- Utilization Management Programs: Health plans also use utilization management programs to monitor the utilization of health services by individuals with asthma. These programs help to identify patterns of care that may be associated with higher costs, such as frequent hospitalizations or use of expensive medications.
- Health Risk Assessments: Health plans use health risk assessments to evaluate the health status of individuals with asthma and to determine their risk for future health problems. This information is used to identify individuals who may require more intensive care management and to develop targeted interventions to improve their health outcomes and reduce costs.
Health plans use a combination of these methods to identify the claims costs associated with asthma. The information gathered through these methods is used to develop cost containment strategies, such as changing drug formularies or implementing care management programs, that can help to reduce the cost of care for individuals with asthma.
Respiratory Therapy: A Long-Term Solution
Respiratory Therapy is a proven method for managing and reducing the symptoms of Asthma and COPD. Studies show that Respiratory Therapy works as well as or better than other approaches and has effects that last even after the therapy is done. Combined with our patented wearable device, ADAMM, a complete care management solution is possible for those with Asthma or COPD.