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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.
September 9, 2016: Population Health Management
Leslie R M Hausmann, Anne Canamucio, Shasha Gao, Audrey L Jones, Shimrit Keddem, Judith A Long, Rachel Werner
Despite patient-centered medical home implementation by the Veterans Health Administration (VHA), delivery of patient-centered care varies across VHA facilities. Facility characteristics underlying this variation are not fully understood. This study used administrative data from 908 VHA outpatient facilities to examine the association of racial and ethnic minority patient concentration and other facility characteristics with facility ratings of patient-centered care. The primary finding was that patient-centered ratings were lower for facilities with medium or high concentrations of Hispanic patients (medium: estimate [Est] = -0...
August 30, 2016: Population Health Management
Timothy S Wells, Ronald J Ozminkowski, Michael P McGinn, Kevin Hawkins, Gandhi R Bhattarai, Seth A Serxner, Chris Greame
Wellness programs are designed to help individuals maintain or improve their health. This article describes how a reporting process can be used to help manage and improve a wellness program. Beginning in 2014, a wellness pilot program became available in New Jersey for individuals with an AARP Medicare Supplement Insurance plan insured by UnitedHealthcare Insurance Company. The program has since expanded to include Missouri, Texas, Alabama, and Washington. This wellness program includes an online health portal, one-on-one telephonic coaching, gym membership discounts, and local health events...
August 30, 2016: Population Health Management
Alexander Pimperl, Timo Schulte, Axel Mühlbacher, Magdalena Rosenmöller, Reinhard Busse, Oliver Groene, Hector P Rodriguez, Helmut Hildebrandt
A central goal of accountable care organizations (ACOs) is to improve the health of their accountable population. No evidence currently links ACO development to improved population health. A major challenge to establishing the evidence base for the impact of ACOs on population health is the absence of a theoretically grounded, robust, operationally feasible, and meaningful research design. The authors present an evaluation study design, provide an empirical example, and discuss considerations for generating the evidence base for ACO implementation...
August 26, 2016: Population Health Management
Stefan Varga, Marco Lombardi, Vittorio Maio
No abstract text is available yet for this article.
August 26, 2016: Population Health Management
Eric W Christensen, Anupam B Kharbanda, Heidi Vander Velden, Nathaniel R Payne
The objective of this study was to determine the patient characteristics and health care utilization patterns that predict frequent emergency department (ED) use (≥4 visits per year) over time to assist health care organizations in targeting patients for care management. This was a retrospective, population-based study of 13,265 Medicaid children aged 0-20 years who were attributed to a single pediatric accountable care organization for at least 2 consecutive years between June 2012 and May 2015. Year-to-year persistence as a frequent ED user was 36...
August 26, 2016: Population Health Management
Suja S Rajan, Manasi S Suryavanshi, Siddharth Karanth, David R Lairson
Regular screening is considered the most effective method to reduce the mortality and morbidity associated with breast cancer. Nevertheless, contradictory evidence about screening mammograms has led to periodic changes and considerable variations among different screening guidelines. This study is the first to examine the immediate impact of the 2009 US Preventive Services Task Force (USPSTF) guideline modification on physician recommendation of mammograms. The study included visits by women aged 40 years and older without prior breast cancer from the National Ambulatory and Medical Care Survey 2008-2010...
August 26, 2016: Population Health Management
Elham Hatef, Stephen Haering, Clarence Lam, Miriam Alexander
No abstract text is available yet for this article.
August 26, 2016: Population Health Management
Janice L Clarke, Scott Bourn, Alexis Skoufalos, Eric H Beck, Daniel J Castillo
Although the health care reform movement has brought about positive changes, lingering inefficiencies and communication gaps continue to hamper system-wide progress toward achieving the overarching goal-higher quality health care and improved population health outcomes at a lower cost. The multiple interrelated barriers to improvement are most evident in care for the population of patients with multiple chronic conditions. During transitions of care, the lack of integration among various silos and inadequate communication among providers cause delays in delivering appropriate health care services to these vulnerable patients and their caregivers, diminishing positive health outcomes and driving costs ever higher...
August 26, 2016: Population Health Management
Peter M McGough, Thomas E Norris, John D Scott, Tim G Burner
No abstract text is available yet for this article.
July 25, 2016: Population Health Management
Lynne VanArsdale, Douglas Curran-Everett, Heather Haugen, Nancy Smith, Adam Atherly
Fee-for-service payment models are moving toward pay-for-performance designs, many of which rely on shared savings for financial sustainability. Shared savings programs divide the cost savings between health care purchaser and provider based on provider performance. Often, these programs measure provider performance as the delivery of agreed-upon clinical practice guidelines that usually are represented as evidence-based medicine (EBM). Multiyear studies show a negative relationship between total cost and EBM, indicating that long-term shared savings can be substantial...
July 25, 2016: Population Health Management
Thomas May, Joseph Byonanebye, John Meurer
No abstract text is available yet for this article.
July 25, 2016: Population Health Management
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