Posts Tagged “Chronic Disease”
ShowHide 3rd Party PapersCommon Wealth Fund: Strengthening Primary and Chronic Care
American Cancer Society: Cancer Facts and Figures 2010
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2012 Potpourri V
by Kevin Roche on Friday, February 3, 2012
Another Potpourri brimming with doses of useful information that you eagerly await each week, including Medicare special needs plans and patients with diabetes, health information technology venture capital funding and M & A, identifying overuse in health care, what makes a better medical group, does merging weak hospitals help them and interventions that appear to work to prevent development of diabetes.
Tags: Care Management, Chronic Disease, Financings, Health Care Costs, Hospital, M&A, Medicare, Physicians
CBO on Medicare’s Care Management Demos
by Kevin Roche on Tuesday, January 24, 2012
The Centers for Medicare and Medicaid Services has engaged in a number of care management demonstrations over the years. The Congressional Budget Office adds its assessment to the body of research examining the outcomes of those demostrations.
Tags: Care Management, Chronic Disease, Disease Management, Health Care Costs, Health Care Quality, Medicare
Chronic Disease Management Savings
by Kevin Roche on Monday, January 9, 2012
A report from the Urban Institute projects what savings might be available from greater use of intensive care management for persons with serious, multiple chronic diseases.
Tags: Care Management, Chronic Disease, Disease Management, Health Care Costs
Disease Registries
by Kevin Roche on Monday, December 12, 2011
Disease registries are used to track a number of patients with a common condition to determine factors which affect their outcomes and to help guide their treatment. An article in Health Affairs reviews a number of disease registries in several countries, finding that they have a high potential to improve overall quality.
Tags: Care Management, Chronic Disease, Health Care Costs, Health Care Quality
Obesity and Weight Management Interventions
by Kevin Roche on Wednesday, December 7, 2011
Obesity is often fingered as a leading cause of health care spending and health spending growth. It also causes significant personal discomfort to those who are overweight. A pair of articles in the NEJM describe the outcomes of interventions to help patients lose weight.
Tags: Care Management, Chronic Disease, Consumers, Providers, Wellness and Prevention
2011 Potpourri XXXXIII
by Kevin Roche on Friday, November 4, 2011
Winter nears but our Potpourri will distract you from the cold breezes, providing compelling nuggets on prostate screening recommendations, consumer use of technology for health, insurer medical cost trends, what to do about Medicare’s physician payments, heart failure hospitalization and mortality rates and rates of non-filling of new prescriptions.
Tags: Chronic Disease, Disease Management, Drugs, Health Care Costs, Health Insurance, HIT, Hospital, Medicare, Physicians, Telemedicine, Wellness and Prevention
Care Coordination for the Dual Eligible Population
by Kevin Roche on Wednesday, October 26, 2011
Medicare/Medicaid dual eligibles are relatively poor, elderly or disabled persons who have very high health spending. A report from America’s Health Insurance Plans discusses how care coordination programs can achieve significant savings for the programs and better health outcomes for the patients.
Tags: Care Management, Chronic Disease, Health Care Costs, Medicaid, Medicare
Unit Cost Versus Prevalence or Utilization as a Health Spending Driver
by Kevin Roche on Tuesday, September 27, 2011
Increased disease prevalence has been hypothesized to be behind much of the growth in health spending. New research published in Health Affairs finds that prevalence growth accounts for little of the rise in spending, with most of it due to increases in treatment cost.
Tags: Chronic Disease, Health Care Costs
Review of Care Management Research
by Kevin Roche on Thursday, August 18, 2011
The Agency for Healthcare Research & Quality released a report on the Comparative Effectiveness of Case Management for Adults with Medical Illness and Complex Care Needs. This metareview found limited evidence for positive effects of any care management intervention.
Tags: Care Management, Chronic Disease, Comparative Effectiveness, Elder Care
2011 Potpourri XXI
by Kevin Roche on Friday, May 27, 2011
Our Memorial Day Potpourri, celebrating health information such as the growth of high-deductible plans, physician starting salaries, benefit design for high-cost conditions, why emergency room physicians order tests, the use of telehealth for heart failure patients and sources of physician pay.
Tags: Care Management, Chronic Disease, Health Care Costs, Health Insurance, Malpractice, Physicians, Telemedicine
The VHA and Chronic Disease Care
by Kevin Roche on Thursday, April 21, 2011
A study of the VHA’s care for chronic disease patients finds generally good compliance with treatment recommendations, but not necessarily the best patient outcomes, reflecting the complexity of improving quality.
Tags: Care Management, Chronic Disease, Disease Management, Government, Health Care Quality
2011 Potpourri XIII
by Kevin Roche on Friday, March 25, 2011
Another edition of the Potpourri, featuring results on the Guided Care program, bundled payment experience, academic physician compensation, end-of-life care, hospital prices and costs, and geographic variation in Medicare spending.
Tags: Care Management, Chronic Disease, Disease Management, Elder Care, Health Care Costs, Hospital, Physicians
Home Care and TeleCommunications
by Kevin Roche on Monday, January 31, 2011
An outstanding Rand report describes the potential for home care technologies, barriers to their use and changes needed to overcome those barriers. The report paints a compelling picture of how greater care at home can benefit patients and the health system.
Tags: Chronic Disease, Elder Care, Health Care Costs, HomeCare, Telemedicine
SOA on Obesity Costs
by Kevin Roche on Wednesday, January 26, 2011
Another group weighs in on the health care costs of obesity. The Society of Actuaries releases a report which suggests even higher mortality and morbidity costs related to the condition than did other research.
Tags: Chronic Disease, Health Care Costs
2011 Potpourri II
by Kevin Roche on Friday, January 7, 2011
Off we go into 2011, with more snippets of health developments including the OIG’s 2011 work plan; an international survey of internet usage for health purposes, physicians’ understanding of patients’ belief systems, medical tourism and care management for persons with multiple chronic conditions.
Tags: Chronic Disease, Consumers, Government, HIT, Medical Tourism, Physicians
2010 Potpourri XLIII
by Kevin Roche on Saturday, December 11, 2010
The snow is raging here in Minneapolis, but nothing stops the delivery of our Potpourri, which includes discussion of paybacks on EHRs, the fate of dialysis patients, use of telecommunciations to aid drug adherence, cost savings from select pharmacy networks and hospital readmissions.
Tags: Chronic Disease, HIT, Hospital, Medicare, Pharmaceutical, Telemedicine
Does Telemonitoring of Health Failure Improve Outcomes?
by Kevin Roche on Monday, November 22, 2010
New research reported in the NEJM finds that telemonitoring of recently discharged heart failure patients did not result in better outcomes than did usual care, but characteristics of the study and analysis mean that the results should not be over-interpreted.
2010 Potpourri XLII
by Kevin Roche on Saturday, November 20, 2010
Thanksgiving approaches and we are thankful for the continuing stream of news to fill our Potpourri, including the effect of malpractice liability on Illinois’ ability to retain physicians; the role of prices in health spending increases; comparative health and death rates in the US and England; employer health insurance costs; CBO review of a plan to reshape to Medicare; and end-of-life decision making.
Tags: Chronic Disease, Consumer Directed Health, Elder Care, Health Care Costs, Health Insurance, Malpractice, Medicare, Physicians
Care Management for the Elderly Patient
by Kevin Roche on Wednesday, November 17, 2010
Older Americans have a high rate of chronic disease and those patients are responsible for much of overall health spending. An article in JAMA explores programs designed to manage care better for these patients.
Tags: Care Management, Chronic Disease, Elder Care, Medicare
2010 Potpourri XL
by Kevin Roche on Saturday, October 30, 2010
Is there anything scary about health care? Yes if you have to pay for it! Nothing scary about our Potpourri, just soothing health care nuggets, covering alternative therapies for back pain, CBO’s view on the reform law, peer interaction to help manage diabetes, diabetes prevalence, Massachusetts physician information, accountable care organizations, bias in clinical trial results and the effects of the health law on employer provided insurance.
Tags: Accountable Care Organization, Care Management, Chronic Disease, Disease Management, Health Care Costs, Health Care Reform, Health Insurance, Medical Care, Physicians, Workplace
Telephone Care Management Support
by Kevin Roche on Wednesday, September 29, 2010
A study published in the New England Journal of Medicine gives heart to supporters of telephone-based care management programs. Largely because of reduced hospitalizations, patients in the intervention arm had lower monthly medical costs, for a modest price.
Tags: Care Management, Chronic Disease, Health Care Costs, Telemedicine
CBO on Obesity
by Kevin Roche on Monday, September 20, 2010
Obesity has been fingered as one of the villains of health care cost increases. A CBO analysis verifies that obese persons appear to have significantly higher annual health care costs compared to non-obese persons.
Tags: Care Management, Chronic Disease, Consumers, Health Care Costs
Virtual Hospital Wards
by Kevin Roche on Friday, September 3, 2010
A Commonwealth Foundation Brief describes a “virtual ward” model developed in Great Britain to minimize hospitalizations for chronic disease patients. Early results are encouraging and similar models are being tried in the United States.
Tags: Chronic Disease, Hospital, Medical Care, Telemedicine
Chronic Disease Patients’ Use of the Internet
by Kevin Roche on Thursday, May 27, 2010
There is a lot of buzz about how the internet will affect health care and ultimately health. Research, including surveys, help keep us grounded with facts. As part of the research base, the Pew Research Center released a survey on chronic disease patients’ use of the internet.
Tags: Chronic Disease, HIT
2010 Potpourri III
by Kevin Roche on Saturday, January 23, 2010
Healthy health care snacks–concierge medicine, personalized medicine, health care hiring, electronic medical records, Medicaid, disease management–all for your reading pleasure on the weekend.
Tags: Care Management, Chronic Disease, Disease Management, HIT, Medical Care, Personalized Medicine, Physician Practice Models, Physicians
Disease Management Works If You Give It Time.
by Kevin Roche on Thursday, January 14, 2010
Skepticism has increased regarding the ability of disease management programs to create cost savings. A new white paper indicates that if the analysis is conducted over a multi-year period, savings are more likely to be found.
mobihealthnews
by Vita Advisors on Wednesday, January 13, 2010
Wireless remote monitoring technology developer MedApps announced partnership with Meridian Health to monitor recently discharged from acute care settings with CHF
Tags: Chronic Disease, Disease Management, Monitoring, Wireless
Remote Monitoring of Heart Failure Patients
by Kevin Roche on Wednesday, November 11, 2009
The Journal of the American College of Cardiology published a meta-analysis of usual care for heart failure patients versus regular telephone follow-up or remote electronic monitoring, finding that the latter approaches reduced hospitalizations and death.
Medicaid Recipients With Chronic Disease
by Kevin Roche on Wednesday, October 28, 2009
The Center for Health Care Strategies release an updated report on Medicaid enrollees with chronic disease, reaffirming how a relatively few patients account for well over half the total program spending.
Tags: Chronic Disease, Government, Medicaid, Medical Care
Use of Mobile Health Tools for Chronic Illness
by Kevin Roche on Wednesday, October 21, 2009
The California HealthCare Foundation releases a report on Participatory Health, which provides an introduction to the potential of online and mobile technologies in management of chronic illness.
Tags: Care Management, Chronic Disease, Devices, Medical Care, Telemedicine
Measuring Prevention’s Cost Savings
by Kevin Roche on Tuesday, September 8, 2009
A new Health Affairs article suggests a different method to measure cost savings from disease prevention and management efforts.
Tags: Care Management, Chronic Disease, Medical Care, Wellness and Prevention
Hypertension Treatment Status
by Kevin Roche on Tuesday, September 1, 2009
There are excellent hypertension treatments available but many Americans don’t know they have the condition and aren’t being treated.
Do We Really Need Another Reminder About the Problems With Government Health Programs?
by Kevin Roche on Tuesday, August 25, 2009
USA Today published an article on the federal end-stage renal disease program. The problems are typical of most government health programs.
Tags: Care Management, Chronic Disease, Government
Another Approach to Managing Chronic Disease
by Kevin Roche on Friday, August 14, 2009
Because chronic disease accounts for a large percentage of total health spending, approaches to managing those diseases are constantly being developed and modified.
Obesity, Obesity
by Kevin Roche on Monday, August 3, 2009
A new study shows increasing amounts of US health care spending are caused by obesity.
Tags: Chronic Disease, Consumers, Health Care Costs, Wellness and Prevention
More on Prevention’s Cost Savings
by Kevin Roche on Sunday, June 14, 2009
The Wall Street Journal article summarized some research results regarding the potential cost savings of prevention and wellness efforts, particularly for persons with chronic diseases. The overall conclusion is that not much money is likely to be saved by such methods, primarily because the cost of these programs when applied to a large population tends to outweigh the health care cost savings which eventually accrue.
Tags: Chronic Disease, Consumers, Disease Management, Medical Care, Wellness and Prevention
The Value of Care Management
by Kevin Roche on Thursday, May 21, 2009
A recent article in The American Journal of Managed Care (volume 15, page 295, May 2009), described findings from a comparison within the Kaiser Permanente system of patients with diabetes who were subject to a care management program and those who were not.
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8% of the 380,000 U.S. kidney patients get dialysis at home rather than at a clinic or hospital