Inventor of Disease Management to Present Federal Data Refuting Alleged Savings Claimed by North Carolina Medicaid

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Al Lewis of the Disease Management Purchasing Consortium, widely credited with inventing disease management, will present federal data refuting North Carolina's report showing a billion dollars in savings at the 4th Annual Medical Home Summit February 26, 2012

I can’t understand why they didn’t refute, explain away, or at least acknowledge the existence of the online federal data directly contradicting their findings.

North Carolina Medicaid has once again claimed to have saved a billion dollars through its Community Care program, this time through commissioning a report by Milliman Inc.. However, this report, like the two before it, makes no mention of the Agency for Healthcare Research and Quality data that leads to precisely the opposite conclusion. Lewis will be presenting this conflicting data at the Thomas Jefferson University’s Fourth National Medical Home Summit on February 26.

“I can’t understand why they didn’t refute, explain away, or at least acknowledge the existence of the online federal data directly contradicting their findings,” says Al Lewis, President of the Disease Management Purchasing Consortium.    “Perhaps Milliman outsourced this work to their Beijing branch which doesn’t have access to Google.”.

Milliman’s report, the third attempt by the state to show large savings for the Community Care Access Program, also directly contradicts the first report, by Mercer Management Consulting. Milliman didn’t count babies, because they weren’t enrolled in the program, whereas half the alleged savings in Mercer’s study came from babies, savings later proven illusory, enrolled or not.

Lewis is inviting Milliman to co-sponsor the session and share his presentation time, in order to both rebut the federal data and describe why their report failed to mention it.

"It’s tough to justify ignoring contradictory data," observes Lewis. "However, if they present a good reason to have done so, I will at my own expense put out a press release to support their analysis of savings. I hope they do decide to co-present so that we can learn, in the immortal words of the great philosopher Rick Perry, whether or not who is right."

About Al Lewis:

Al Lewis is the author of Why Nobody Believes the Numbers: Separating Fact from Fiction in Population Health Management (John Wiley & Sons, June 2012), the introduction to which may be downloaded gratis. He is also widely credited with inventing disease management and was the founder and first president of what is now the Care Continuum Alliance. He was named the field’s leading outcomes analyst in the 9th Annual Report on the Disease Management and Wellness Industries and provides the field’s only certification course in Critical Outcomes Report Analysis

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Alex Howlett
Disease Management Purchasing Consortium
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