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Previous Volume 340:1202-1205 April 15, 1999 Number 15 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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"Disease management" is the latest catch phrase in the ever-evolving American health care spectacle. What does it mean? Who is promoting it and why? What does it portend for the future of health care? Disease management has two forms — a contracted "carve-out" model and a primary care–based model — and I argue here that the carve-out model may have negative consequences for American health care.

What is Disease Management?

One hundred million Americans live with chronic illnesses.¹ Yet physicians are not adequately caring for this population. According to Dr. Edward Wagner, a leading scholar on the subject, "Surveys and audits regularly reveal failures . . . [Full Text of this Article]

The Carve-Out Model

Primary Care–Based Disease Management

References

Related Letters:

Disease Management
DeBusk R. F., Herzlinger R. E., Bodenheimer T.
Extract | Full Text  
N Engl J Med 1999; 341:767-768, Sep 2, 1999. Correspondence

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