Disease Management is defined as which of the following?

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Disease management is a structured, ongoing, proactive approach to caring for a defined group of patients with chronic conditions. It coordinates medical services across the entire course of illness with the aim of improving health status and preventing complications while controlling costs. This means identifying high‑risk, high‑cost patients, using data to stratify risk, and delivering evidence‑based care through individualized care plans, patient education, regular monitoring, and coordinated follow‑ups with the care team. Remote patient monitoring can be a component of disease management, but it does not by itself define the field. Likewise, software for EMR data entry is a tool, and a credentialing policy is about personnel authorization—neither captures the comprehensive, population‑focused, long‑term care coordination that disease management entails.