Disease Management Programs

Health Insurance Coverage and the Near Elderly

August 2002, Vol. 23, No. 8
Paperback, 16 pp.
PDF, 167 kb
Employee Benefit Research Institute, 2002

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Executive Summary

Disease Management Programs—Renewed health care cost growth may create an incentive for health plans and employers to keep employees as healthy as possible by emphasizing wellness, health promotion, and disease management programs. Disease management is defined as a systematic approach to coordinated health care that seeks to identify individuals and populations who have—or are at risk of developing—certain targeted, mainly chronic medical conditions. It offers the possibility of saving money while improving health by reducing employees' need for expensive hospitalizations and other health treatments. This article describes disease management programs, their objectives, their prevalence, their effectiveness and impact, and the outlook for this approach to health care in the future.

Health Insurance Coverage and the Near Elderly—As the baby boom generation ages, the issue of health insurance coverage for near elderly individuals will become increasingly important. This article shows that among individuals ages 55-64, 86.3 percent reported having some form of health care coverage and 13.7 percent were uninsured in 2000. Among those with health insurance, 66.8 percent had employment-based health coverage, while 9 percent were covered by an individually purchased plan, and 16.6 percent were covered by some type of public health insurance.