Why Nobody Believes the Numbers:
The Outcomes Measurement Guide for Grown-Ups

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Mercer and North Carolina Medicaid are the newest members of the “100 Club”

Intelligent Design Awards recognize those contributions which most set back evolution of the disease management and wellness fields. Just as engineers say that more is learned from a single bridge which collapses than from 100 which stay up, there are serious lessons to be learned from these humorous failures. (Note: DMPC is officially neutral on Intelligent Design vs. Evolution in general. Just not in disease management and wellness.)

As faithful readers of the Intelligent Design Awards know, the 100 Club is an exclusive organization whose membership is limited to payors, vendors and consultants who think it is possible to reduce a number by more than 100%.

Mercer’s Analysis for North Carolina Medicaid’s Patient-Centered Medical Home (PCMH) Program reduced neonatal care expense by >100%, as part of reducing overall expense of caring for babies by 54%.

What makes this especially curious is that PCMH is a chronic disease program, and the population least likely to have a chronic disease is, you guessed it, babies.

The other head-scratcher? Despite Mercer’s claims of massive savings in neonatal care, neonatal utilization declined only 1%, according to the actual freely available data, as opposed to the expensively available consultants.

The entire analysis is available in Outcomes Measurement for Dummies...and Smarties

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