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Costs of chronic disease management for newly insured adults.
- Source :
-
Medical care [Med Care] 2011 Sep; Vol. 49 (9), pp. e22-7. - Publication Year :
- 2011
-
Abstract
- Objective: Healthcare reform will result in substantial numbers of newly insured, low-income adults with chronic conditions. This paper examines the costs of a chronic disease management program among newly insured adults with diabetes and/or hypertension.<br />Research Design and Methods: Low-income adults with diabetes and/or hypertension were provided County-sponsored health insurance coverage and access to disease management. Health econometric methods were used to compare costs among participants in disease management to nonparticipants, both overall and in comparison between those who were newly insured versus previously insured under an alternative County-sponsored insurance product. Costs were also compared between those who qualified for County-sponsored coverage due to diabetes versus hypertension.<br />Results: Annual inpatient costs were $1260 lower, and outpatient costs were $723 greater, among participants in disease management (P<0.001 each). Participants in disease management without previous County-sponsored coverage had higher pharmacy costs ($154, P=0.002) than nonparticipants; whereas participants with diabetes had marginally significant lower overall costs compared with nonparticipants ($-685, P=0.070).<br />Conclusions: Disease management was successful in increasing the use of outpatient services among participants. The offsetting costs of the program suggest that disease management should be considered for some newly insured populations, especially for adults with diabetes.
- Subjects :
- California
Chronic Disease
Diabetes Mellitus therapy
Disease Management
Female
Humans
Hypertension therapy
Insurance Coverage
Linear Models
Male
Middle Aged
Models, Econometric
Patient Protection and Affordable Care Act economics
Propensity Score
Self Care
United States
Diabetes Mellitus economics
Health Care Costs
Hypertension economics
Medical Assistance economics
Poverty
Subjects
Details
- Language :
- English
- ISSN :
- 1537-1948
- Volume :
- 49
- Issue :
- 9
- Database :
- MEDLINE
- Journal :
- Medical care
- Publication Type :
- Academic Journal
- Accession number :
- 21478774
- Full Text :
- https://doi.org/10.1097/MLR.0b013e318215d280