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Population Health Management

William J Kassler, Mollie Howerton, Alice Thompson, Elizabeth Cope, Dawn E Alley, Darshak Sanghavi
As Medicare and Medicaid increasingly shift to alternative payment models focused on population-based payments, there is an urgent need to develop measures of population health that can drive health improvement. In response, an assessment and design project established a framework for developing population health measures from a payer perspective, conducted environmental scans of existing measures and available data infrastructure, and conducted a gap analysis informing measure development and infrastructure needs...
October 5, 2016: Population Health Management
Jin-Won Noh, Jin Hyuk Hong, In Hye Kim, Minjae Choi, Young Dae Kwon
No abstract text is available yet for this article.
September 30, 2016: Population Health Management
Ramona S DeJesus, Carmen Radecki Breitkopf, Lila J Rutten, Debra J Jacobson, Patrick M Wilson, Jennifer St Sauver
Thirty-seven percent of US adults have prediabetes. Various interventions can delay diabetes progression; however, the optimum target group for risk reduction is uncertain. This study estimated rate of progression to diabetes at 1 and 5 years among a cohort of patients from 3 primary care clinics and modeled the potential magnitude in diabetes incidence risk reduction of an intervention program among specific subgroups. Records of 106,821 empaneled patients in 2005 were reviewed. Generalized population attributable risk (PAR) statistics were calculated to estimate the impact of reducing fasting blood glucose on diabetes progression...
September 30, 2016: Population Health Management
Mayank Ajmera, Chan Shen, Usha Sambamoorthi
Use of multiple prescription medications is common among individuals with chronic obstructive pulmonary disease (COPD) because of coexisting inflammatory-related conditions. Specifically, the use of antidepressants, inhaled corticosteroids (ICSs), and statins may place individuals with COPD at high risk for new-onset diabetes. The objective was to examine the relationship between the use of antidepressants, ICSs, and statins and new-onset diabetes among Medicaid beneficiaries with COPD. This study used a retrospective longitudinal cohort design using multiple years (2005-2008) of Medicaid claims for beneficiaries with newly diagnosed COPD (n = 15,287), who were diabetes free at baseline...
September 30, 2016: Population Health Management
Andrew D Seidman, Darius K Amjadi, Tammy De La Melena, Darren Wheeler
No abstract text is available yet for this article.
September 29, 2016: Population Health Management
Lauran Hardin, Adam Kilian, Michael Olgren
No abstract text is available yet for this article.
September 13, 2016: Population Health Management
Shirley Musich, Shaohung S Wang, Kevin Hawkins, Chris Greame
The benefits of physical activity (PA) for older adults have been demonstrated in reduced prevalence of common chronic conditions, improved mental health, decreased cognitive decline, and reduced mortality rates. Less is understood concerning the health impacts of light-to-moderate intensity PA. The purpose of this study was to estimate light-to-moderate PA frequency levels-low (0-2 days/week), intermediate (3-4 days/week) and high (≥5 days/week)-among AARP Medicare Supplement insureds, identify characteristics, and estimate the association of PA levels with the prevalence of selected chronic conditions, health care utilization, and expenditures...
September 13, 2016: Population Health Management
Bobby Clark, Safia Boghani, Cristina Grullon, Marcia Batista
The purpose of this study was to assess the impact of a program to prevent the development of type 2 diabetes among participants with prediabetes. The program focused on a healthy eating style, behavior modification, daily physical activity, and achieving a healthy weight. This was a retrospective observational analysis of a pilot program designed to prevent diabetes among employees with prediabetes. This intervention involved 12-16 weeks of nutrition counseling with the registered dietitian and participation in physical activity of at least 150 min/week...
September 13, 2016: Population Health Management
William C Livingood, Carmen Smotherman, Katryne Lukens-Bull, Petra Aldridge, Dale F Kraemer, David L Wood, Carmine Volpe
No abstract text is available yet for this article.
December 2016: Population Health Management
Aaron R Wells, Xiabo Guo, Carter R Coberley, James E Pope
Decades of research exist focusing on the utility of self-reported health risk and status data in health care cost predictive models. However, in many of these studies a limited number of self-reported measures were considered. Compounding this issue, prior research evaluated models specified with a single covariate vector and distribution. In this study, the authors incorporate well-being data into the Multidimensional Adaptive Prediction Process (MAPP) and then use a simulation analysis to highlight the value of these findings for future cost mitigation...
December 2016: Population Health Management
Ted A James, Lauren Kreiger, Asim Zia, Diann Gaalema, Chris A Jones
No abstract text is available yet for this article.
December 2016: Population Health Management
Osayi E Akinbosoye, Michael S Taitel, James Grana, Jerrold Hill, Rolin L Wade
The aim was to evaluate the impact of a multifaceted set of medication management interventions offered by a community pharmacy on adherence, health care utilization, and costs within a commercial population. Patients initiating therapy within 16 drug classes from February 7, 2013, to October 6, 2013, were offered various adherence interventions by Walgreens pharmacy. Patients were linked deterministically to IMS medical and prescription databases for 6-month pre- and post-index data analysis. Walgreens patients (intervention) were matched to patients using other pharmacies (control) on drug class, index date, baseline demographics, clinical factors, utilization, and costs...
December 2016: Population Health Management
Brady P Horn, Cameron Crandall, Maurice Moffett, Michael Hensley, Sam Howarth, Douglas S Binder, David Sklar
High-cost, medically complex patients have been a challenging population to manage in the US health care system, in terms of both improving health outcomes and containing costs. This paper evaluated the economic impact of Care One, an intensive care management program (data analysis, evaluation, empanelment, specialist disease management, nurse case management, and social support) designed to target the most expensive 1% of patients in a university health care system. Data were collected for a cohort of high-cost, medically complex patients (N = 753) who received care management and a control group (N = 794) of similarly complex health system users who did not receive access to the program...
December 2016: Population Health Management
Amit D Raval, Suresh Madhavan, Malcolm D Mattes, Usha Sambamoorthi
The current retrospective observational study was conducted to examine the association between types of chronic conditions and cancer stage at diagnosis among elderly Medicare beneficiaries with prostate cancer using the Surveillance, Epidemiology, and End Results (SEER)-Medicare linked database. The study cohort consisted of elderly men (≥66 years) with prostate cancer diagnosed between 2002 and 2009 (N = 103,820). Cancer stage at diagnosis (localized versus advanced) was derived using the American Joint Committee on Cancer classification...
December 2016: Population Health Management
Barbara Guerard, Vincent Omachonu, Blake Perez, Bisakha Sen
Medication adherence is often lower among disadvantaged patients. Drivers of medication adherence may include the quality of communications between patient and medical caregiver. The research objective is to assess whether an annual Comprehensive Wellness Assessment (CWA) is associated with improved medication adherence. The CWA targeted primarily dual eligible Special Needs Plan (SNP) enrollees in a Medicare Advantage plan. This retrospective panel study used administrative claims data and member-month level data for members who were newly diagnosed with diabetes in 2010, allowing for up to 5 years of follow-up...
December 2016: Population Health Management
Etienne J Phipps, S Brook Singletary, Clarissa A Cooblall, Horacio D Hares, Leonard E Braitman
Having access to adequate and appropriate food is a major population health issue. This study investigated food insecurity in patients with high rates of inpatient hospitalization ("super-utilizers"). Forty adults with ≥3 hospital inpatient admissions within a 12-month period were interviewed in an urban hospital in Philadelphia, Pennsylvania, between March 2015 and May 2015. Inpatient admission history was obtained from hospital billing data. The majority had ≥5 hospitalizations in the past 12 months and ≥6 chronic conditions...
December 2016: Population Health Management
David Kerr, Meroe Yadollahi, Hemerson M Bautista, Xin Chen, Shuyan Dong, Stephane N A Guerrier, Remmert J Laan, Ian Duncan
In California, 1 in 3 hospital beds are occupied by adults with diabetes. The aim of this study was to examine whether diabetes impacts length of stay (LOS) following common elective orthopedic procedures compared to nondiabetic individuals, and also the performance of hospitals across California for these procedures. Using the Public Use California Patient Discharge Data Files for 2010-2012, the authors examined LOS for elective discharges for hip, spine, or knee surgery (n = 318,861) from the total population of all discharges (n = 11,476,073) for 309 hospitals across California...
December 2016: Population Health Management
Shreya Kangovi, Tamala Carter, Dorothy Charles, Robyn A Smith, Karen Glanz, Judith A Long, David Grande
Community health worker (CHW) programs are an increasingly popular strategy for patient-centered care. Many health care organizations are building CHW programs through trial and error, rather than implementing or adapting evidence-based interventions. This study used a qualitative design-mapping process to adapt an evidence-based CHW intervention, originally developed and tested in the hospital setting, for use among outpatients with multiple chronic conditions. The study involved qualitative in-depth, semi-structured interviews with chronically ill, uninsured, or Medicaid outpatients from low-income zip codes (n = 21) and their primary care practice staff (n = 30)...
December 2016: Population Health Management
Melissa Sherry, Jennifer L Wolff, Jeromie Ballreich, Eva DuGoff, Karen Davis, Gerard Anderson
Health care reform efforts that emphasize value have increased awareness of the importance of nonmedical factors in achieving better care, better health, and lower costs in the care of high-need, high-cost individuals. Programs that care for socioeconomically disadvantaged, high-need, high-cost individuals have achieved promising results in part by bridging traditional service delivery silos. This study examined 5 innovative community-oriented programs that are successfully coordinating medical and nonmedical services to identify factors that stimulate and sustain community-level collaboration and coordinated care across silos of health care, public health, and social services delivery...
December 2016: Population Health Management
Shirley Musich, Shaohung Wang, Kevin Hawkins, Andrea Klemes
The objective of this study was to evaluate the impact on health care utilization and expenditure trends over time of a personalized preventive medicine program delivering individualized care focused on lifestyle behavior modification, disease prevention, and compliance with quality-related metrics. MD-Value in Prevention (MDVIP) is a network of affiliated primary care physicians who utilize a model of health care delivery based on an augmented physician-patient relationship and focused on personalized preventive health care...
December 2016: Population Health Management
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