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Home / News & IndustryManaged Care Insight and Analysis
Updated: September 28, 2010
DM Seen Making A Difference In Allentown

Disease management is making a dent in the Allentown, Pa., area. Physicians participating with Valley Preferred, a community-based PPO, are reducing usage of critical healthcare services by improving methods in which they manage disease.

The results are based on managing populations of patients who have their health insurance coverage with a Valley Preferred payer partner.

"There is an epidemic of increasing chronic disease, and better disease management and prevention are the best practices that yield the most positive results," said Dr. Jack Lenhart, Valley Preferred’s medical director.

Nationally, chronic diseases consume more than 70 percent of healthcare costs, according to the Institute of Medicine.

Because of the program, from 2006 to 2007 Valley Preferred reported that it has reduced hospital admissions, hospital days and emergency room visits.

Equally important was the corresponding 6 percent decrease in the number of absences and 50 percent decrease in the number of days absent on the job.

"Our strategy is not new, but more accountable collaboration between patient and physician is making a difference," Lenhart said. "By being more accountable, by being in more communication with their physicians, patients are taking their prevention plans more seriously."

The health insurers understand the key to better overall community health results can only be improved by working closely with the medical community, said Gregory Kile, executive director and CEO of Valley Preferred.

Address: Valley Preferred, 1605 N. Cedar Crest Blvd., Suite 411, Allentown, PA 18104-2351; (610) 969-0480,

  This article was taken from:
The Executive Report on Managed Care

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