Congestive Heart Failure Case Management: A Fiscal Analysis

Abstract

A cost-benefit analysis was performed to evaluate the effects of a community hospital-based Chronic Disease Management Program (CDMP) for congestive heart failure on hospitalization rates and costs of care. The CDMP consists of dietary, exercise, and pharmacy counseling as well as close follow-up by a case manager. Twenty-seven patients were enrolled with an average age of 72.5 years. The CDMP significantly reduced costs of care, emergency visits, admissions, and length of stay. Chronic disease management for congestive heart failure is feasible and effective in the community hospital setting, and third-party reimbursement for such programs is warranted.