Disease Management- DMOs way forward
Since 10% of the patients account for over 70% of the overall healthcare costs, focusing on this population can help in significantly reducing the overall costs of healthcare as well.
5 years ago, over 75% of the disease management was outsourced to DMOs (Disease Management Organizations) since it was considered a specialty. Now, most of the payers have brought some form of disease management in-house and less than 40% of the disease management efforts are outsourced. DMOs are now seeing opportunities mostly in wellness instead of disease management.
DMOs charge fees based on number of members they cater to. If some of their services can be tied to Health outcomes, they could emerge as leaders in Disease management. Any thoughts?