Return On Investment

  • Chronic Disease Self-Management Program (CDSMP) has been developed through 20+ years of federally-funded grants from the National Institutes on Health, the U.S. Agency for Healthcare Research and Quality, and the Centers for Disease Control and Prevention.
  • There is evidence to support the notion that CDSMP saves enough money in healthcare expenditures within the first year to pay for the program.
  • The program's benefits are also seen across the spectrum of socioeconomic and educational levels.
  • CDSMP participants maintain many of their health and behavioral improvements over time, and significant improvements in exercise and social/role limitations can be seen over a two year period.
  • The participants who received the self-management program reduced their hospital stays by 0.15 days for a total difference of 0.49 days during the first 6 months of the original study. Assuming that a day of hospitalization costs $1,000, the reduction in hospitalization during the first 6 months can be extrapolated to 0.49 days which represents approximately $490 less utilization per participant than at baseline.1
  • In conservative terms, the two-year saving due to reduced hospital days and outpatient visits is approximately $590 per participant ($490 in hospitalization and $100 in outpatient visits).
  • The self-management program produced significant improvements in health distress and reductions in ambulatory health care utilization each year during a 2-year period. In addition, participants' perceived self-efficacy to manage their health conditions improved during 2 years.
  • CDSMP is currently offered through the National Health Services of England and Denmark, and in many parts of Australia, Japan, China, Norway and Canada. This attests to the program's broad reach and appeal.

The Tuskegee Project

Download our presentation on the effectiveness of the Living Well Alabama program in small-town Alabama.

1 Chronic Disease Self-Management Program: 2-Year Health Status and Health Care Utilization Outcomes





Page last updated: April 17, 2017