Determining the Cost-Effectiveness of Health Promotion Programs
Today, new forms of organizing and delivering health care services are emerging. Managed care arrangements are creating more focus on the cost and consequences of health care services. Under many of these managed care plans, providers receive fixed capitated payments regardless of the magnitude of services consumed. The provider assumes more financial risk and is likely to pay greater attention to the costs and benefits of care in this financing arrangement. The managed care movement is creating more emphasis on populations. These populations can be defined by membership in a particular insured group or by membership in a group at risk for a certain disease. In either case, many contend that providers of care will have more incentive to move beyond the delivery of care at the time of illness to more proactive prevention and health promotion programs for these populations. If so, the costs, savings, and health consequences must be measured and compared to alternative interventions.
KeywordsDiscount Rate Health Maintenance Organization Health Promotion Program Standard Gamble Perfect Health
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