Situation: A non-profit organization provides classes for older adults to help prevent falls and improve self-management of chronic disease. They wanted to pitch their classes to health plans and recommend that they include them in their covered services. But to do that, they knew they would have to demonstrate to health plans that it was worth their investment.
Solution: Through an extensive literature review and summary, we demonstrated the prevalence and cost of falls and poor management of disease management, as well as the documented success of the programs offered by this organization. Using estimates from published literature combined with the organization’s own data on enrollment and results (e.g., self-reported falls, improved knowledge and self-efficacy from the classes), we calculated an estimated cost-savings overall and per attendee. From these results we developed two white papers and other materials that the organization could use when presenting their case to health plans.