1. Copyright, Disease Management Strategy Group, 2012
A SYSTEMS APPROACH TO DISEASE MANAGEMENT IS ONE IN WHICH INTERACTING ANALYTICAL TOOLS AND PROGRAMS ARE COMBINED INTO A SEAMLESS PROCESS RESULTING IN THE BEST OUTCOMES POSSIBLE WITH A GIVEN APPLICATION OF RESOURCES.
Copyright, Disease Management Strategy Group, 2012

2. Systems Approach Disease Management
Results
Individual Level
Quantify Disease Incidence
by Type/Division/Sex/Age/Region
Wellcast ROI
Gather Risk Factor Data
Client
Vendor
Results
Corporate Level
Develop List
of Potential Prevention Programs
Internal/External
Prioritize Diseases
Based on Cost and Incidence
Quantify Medical & Economic Costs
by Disease
Wellcast ROI
Perform Simulations
to Determine and Rank ROI’s
Vary Price/Participation/Success Rates
Wellcast ROI
Select and Obtain
Approval of Programs
Based on ROI
Develop Implementation Plan
Target
Communication
Resource Allocation
Perform ROI Variance Analyses
Re-administer HRA
Clinical Outcomes
Wellcast ROI
Implement Programs
at Individual Level
Copyright, Disease Management Strategy Group, 2016

3. Step 1 Gather Risk Factor Data
Administer HRA Questionnaires
Copyright, Disease Management Strategy Group, 2016

4. Quantify Disease Incidence by Age, Gender, Region and Function
Step 2
Quantify Disease Incidence
by Age, Gender, Region and Function
Wellcast ROI
Copyright, Disease Management Strategy Group, 2016

5. Quantify Disease Costs by Age, Gender, Region and Function
Step 3
Quantify Disease Costs
by Age, Gender, Region and Function
Wellcast ROI
Productivity Losses
Retraining Costs
Replacement Costs
Relocation Costs
Disability Costs
Copyright, Disease Management Strategy Group, 2016

6. Copyright, Disease Management Strategy Group, 2016
Step 4 Prioritize Diseases Based on Costs by Age, Gender, Region and Function Wellcast ROI
Copyright, Disease Management Strategy Group, 2016

7. Step 5 Develop List of Interventions by Disease
CHD
Exercise
Diet Management
Stress Management
Smoking Cessation
Blood Pressure Medication
Cholesterol Medication
Copyright, Disease Management Strategy Group, 2016

8. Copyright, Disease Management Strategy Group, 2016
Step 6 Run ROI Simulations with Cost/Participation/Success Assumptions Wellcast ROI
CHD
Program Cost Reduction Risk Factors
Exercise $100 BP/Chol/Smoking
Diet Management $ 75 BP/Chol
Stress Management $ 50 BP/Smoking
Blood Pressure Medication $150 BP
Cholesterol Medication $120 Chol
Smoking Cessation $ 60 BP/Smoking
Copyright, Disease Management Strategy Group, 2016

9. Program Effectiveness CHD Exercise
Copyright, Disease Management Strategy Group, 2016

10. Step 7 Rank & Select Programs Based on ROI Wellcast ROI
Copyright, Disease Management Strategy Group, 2016

11. Step 8 Develop Implementation Plan
Target & Communication
Wellcast (groups with greatest benefit)
Resource Allocation
Wellcast (based on NPV and IRR)
Copyright, Disease Management Strategy Group, 2016

12. Copyright, Disease Management Strategy Group, 2016
Step 9 Conduct Variance Analyses (after Re-Administering HRA’s) Wellcast ROI
Risk Factor Goal Actual Variance ROI Systolic BP % Diastolic BP % HDL % LDL % Smoking %
Copyright, Disease Management Strategy Group, 2016