care-program-effectivenesslisted

# Care Program Effectiveness ## Overview This skill evaluates the effectiveness of care management programs — disease management, care coordination, transitional care, remote patient monitoring, and behavioral health integration — by measuring outcomes against matched comparison groups. It applies quasi-experimental methods, difference-in-differences analysis, and propensity score matching to isolate program impact from secular trends. ## When to Use - Evaluating whether a care management program achieved its intended outcomes - Conducting annual program effectiveness reviews for leadership or board reporting - Comparing intervention cohorts to matched controls for causal attribution - Quantifying cost avoidance and utilization reduction attributable to programs - Deciding whether to expand, modify, or sunset a care program ## Required Inputs | Input | Description | Format | |-------|-------------|--------| | Program enrollment data | Enrollment dates, program type, engagement level | Program roster | | Claims/encounter data | Pre- and post-enrollment claims for participants and comparison | Claims detail | | Clinical outcomes | Lab values, vitals, functional assessments | Clinical data | | Cost data | Allowed amounts, PMPM, total cost of care | Financial tables | | Eligibility data | Continuous enrollment, LOB, demographics | Enrollment file | | Program operational data | Touchpoints, interventions delivered, care plans | Program logs | ## Methodology ### Step 1 — De