I am reading with interest the responses to the question about max. case loads for disease specific case managers. I am currently in an administrative position with a small IPA offering a Medicare Advantage and managed medicaid to about 15k people. I have a young disease management program for 5 common diseases. I am trying to determine if I should build in-house for my DM/CM staff or outsource all or part of my Disease management efforts. I would enjoy any conversation with someone who can discuss the pros and cons of these options, cost for a vendor based program, case loads etc. Please respond, Ben