Coordinated program that follows specific diseases or conditions and their treatments and introduces treatment to get the best outcome, prevent recurrence, and reduce the cost of care. Such programs exist for individuals who have asthma, diabetes, depression, and lipid disorders. Pharmaceutical companies work with physicians who maintain databases of drugs used to treat these diseases and conditions. Sometimes called disease state management, outcomes management, population-based care, population-based care management , or care mapping .

Overseeing a patient’s entire condition or disease state rather than treatment to individual components of a disease in isolation. Achievement of beneficial outcomes and cost effectiveness are emphasized. The patient’s overall condition is treated carefully analyzing side effects and cost of treatment.

1. Process in which a patient ends his or her health care coverage with a health plan. Generally this is now allowed unless a patient has been with a plan for at least 6 to 12 months. 2. In the Medicare program, a beneficiary may disenroll at the beginning of any given month if notice is given by a certain preceding deadline during the previous month.

1. Member’s voluntary cancellation of membership in a managed care plan. 2. Involuntary disenrollment may occur because of a member’s change in employment.

Abnormal color, shape, or structure of a body part that if visible may cause social rejection and/or poor self-image, causing a change in lifestyle and behavior.