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Abstract
Developing a managed care network for Multiple Sclerosis: the role of demand stratification to support special group commissioning strategies
Highlights
Multiple sclerosis (MS) is a chronic and progressive disease characterised by central nervous system lesions and subsequent neural damage
Whereas literature suggests the importance of integration in MS management, evidences show many difficulties to achieve integration and seamless integrated clinical pathways (ICPs) for this target of patients
The methods used for the MS patients group identification and segmentation is remarkable for further exploitation and transferrable yet to different contexts yet to different care groups, providing a reliable tools for strategic commissioning for complex care needs
Summary
Multiple sclerosis (MS) is a chronic and progressive disease characterised by central nervous system lesions and subsequent neural damage. Hitherto there are limited experiences around comprehensive interventions for the MS management, exploiting a life-course approach and broader scales and scopes towards special group commissioning strategies – with only one relevant exemption in the U.S Veterans Integrated Service Network (VISN) supporting MS Regional Program. In the context of a broad regional programme oriented to reorganise primary health care through the development of medical homes model, the LHA in mid-2014 started a project for setting up a MS managed care network. Moving from a systematic analysis yet of the demand of MS patients yet of the local supply chain, the project has sought for establishing a managed care network based on the newly primary health care system and for identifying special commissioning strategies for this targeted group through ICPs
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