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Chronic Disease Management

The chronic disease management market encompasses consumers with chronic, complex conditions such as chronic kidney disease, diabetes, and heart disease. The challenges faced in this market are often compounded by the need for social services and supports. For provider organizations and health systems managing consumers with chronic conditions, a significant challenge that remains is addressing the rising cost of care for this population. As a result, payers are focusing on reducing the spend by increasing integrated models of care coordination across medical, behavioural, pharmacy, and social support systems. These new market forces are creating strategic opportunities for provider organizations that are serving this population.


For health care organizations, getting paid for what they did used to be a complicated process, but not necessarily complex. But that has changed in recent years. The issues are now complex. To borrow from the theories of complexity leadership, complicated systems may have many parts, but when the parts interact, they do not change each other. In complex systems, on the other hand, when things interact, they change one another in unexpected and irreversible ways (see… Read