The Impact of New Payment Models on Quality of Diabetes Care and Outcomes

@article{McGinley2016TheIO,
  title={The Impact of New Payment Models on Quality of Diabetes Care and Outcomes},
  author={Erin L McGinley and Robert A Gabbay},
  journal={Current Diabetes Reports},
  year={2016},
  volume={16},
  pages={1-4}
}
Historic changes in healthcare reimbursement and payment models due to the Affordable Care Act in the United States have the potential to transform how providers care for chronic diseases such as diabetes. Payment experimentation has provided insights into how changing incentives for primary care providers can yield improvements in the triple aim: improving patient experience, improving the health of populations, and reducing costs of healthcare. Much of this has involved leveraging widespread… 

The Impact of Patient-Centered Medical Homes on Quality of Care and Medication Adherence in Patients with Diabetes Mellitus.

  • J. An
  • Medicine
    Journal of managed care & specialty pharmacy
  • 2016
Patients with all PCMH features were associated with improvement in the process measures of diabetes care, but not in adherence to OHAs, and the mechanism of PCMHs in overall quality of care, as well as medication adherence should be investigated.

Strategies to Improve Corporate Financial Investment in Care Coordination Programs

This single case study was to explore the strategies that health care leaders use to improve corporate financial investment in care coordination programs that include the triple aim of reducing cost, improving population health, and increasing patient satisfaction.

Innovative Solutions to Care for Individuals With Diabetes in Underserved Populations

Comorbid conditions such as cardiovascular, neurological, renal, and retinal diseases occurred at higher rates in low-SES diverse communities, possibly due to inadequate medical and self-care, as well as inaccurate culture-bound beliefs.

How can clinical practices pragmatically increase physical activity for patients with type 2 diabetes? A systematic review

This work searched PubMed MEDLINE from January 1980 through May 2015 for RCTs of behavioral PA interventions coordinated by clinical practices for patients with T2D and identified interventions that effectively increased PA and glycemic control among the interventions in the top tertile of PRECIS-2 scores.

Clinical Use of Continuous Glucose Monitoring in Adults with Type 2 Diabetes

Several diabetes organizations have recently reviewed the literature on the appropriate use of CGM in diabetes management and concluded CGM may be a useful educational and management tool particularly for patients on insulin therapy.

Millennial managers: exploring the next generation of talent.

  • N. Gerard
  • Business
    Leadership in health services
  • 2019
This first of its kind study to illuminate the motivations and preferences that underpin a key and growing segment of the healthcare workforce reveals a significant positive relationship between intrinsic motivation and preferences for working on the payer side of the industry and within finance and IT functions.

DYSGLYCEMIA-BASED CHRONIC DISEASE: AN AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS POSITION STATEMENT.

This position statement is consistent with a portfolio of AACE endocrine disease care models that prioritize patient-centered care, evidence-based medicine, complexity, multimorbid chronic disease, the current health care environment, and a societal mandate for a higher value attributed to good health.

Insurance Status and Biological and Psychosocial Determinants of Cardiometabolic Risk Among Mexican-Origin U.S. Hispanic/Latino Adults with Type 2 Diabetes

Health insurance status appears to influence achieved glycemic control for U.S. Hispanic/Latino adults with type 2 diabetes, however, various psychosocial factors potentially influencing cardiometabolic risk independently of health insurance status may also be implicated in the inequitable burden of T2D.

References

SHOWING 1-10 OF 13 REFERENCES

The Patient-Centered Medical Neighborhood and Diabetes Care

The PCMH model has shown promising results as a cost-effective strategy to deliver quality care to those with chronic diseases, including diabetes, and is being supported financially by federal initiatives.

Effects of a Medical Home and Shared Savings Intervention on Quality and Utilization of Care.

During a 3-year period, this medical home intervention, which included shared savings for participating practices, was associated with relative improvements in quality, increased primary care utilization, and lower use of emergency department, hospital, and specialty care.

Association between participation in a multipayer medical home intervention and changes in quality, utilization, and costs of care.

A multipayer medical home pilot, in which participating practices adopted new structural capabilities and received NCQA certification, was associated with limited improvements in quality and was not associated with reductions in utilization of hospital, emergency department, or ambulatory care services or total costs over 3 years.

Cost of Transformation among Primary Care Practices Participating in a Medical Home Pilot

The costs of medical home transformation vary widely, creating potential financial challenges for primary care practices—especially those that are small and independent.

A Positive Deviance Approach to Understanding Key Features to Improving Diabetes Care in the Medical Home

Positive deviance analysis suggests that primary care practices’ baseline structural capabilities and abilities to buffer the stresses of change may be key facilitators of performance improvement in medical home transformations.

Medical homes and cost and utilization among high-risk patients.

PCMH practices had significantly reduced costs and utilization for the highest risk patients, particularly with respect to inpatient care, as high-risk members represent a high-cost group.

Projection of the year 2050 burden of diabetes in the US adult population: dynamic modeling of incidence, mortality, and prediabetes prevalence

This analysis suggests that widespread implementation of reasonably effective preventive interventions focused on high-risk subgroups of the population can considerably reduce, but not eliminate, future increases in diabetes prevalence.

Economic Costs of Diabetes in the U.S. in 2002

The estimated 132 billion US dollars cost of diabetes likely underestimates the true burden of diabetes because it omits intangibles, such as pain and suffering, care provided by nonpaid caregivers, and several areas of health care spending where people with diabetes probably use services at higher rates than people without diabetes.

Launching accountable care organizations--the proposed rule for the Medicare Shared Savings Program.

  • D. Berwick
  • Medicine, Political Science
    The New England journal of medicine
  • 2011
A common criticism of U.S. health care is the fragmented nature of its payment and delivery systems, and the Medicare Shared Savings Program for accountable care organizations (ACOs) as a potential solution.

The triple aim: care, health, and cost.

Improving the U.S. health care system requires simultaneous pursuit of three aims: improving the experience of care, improving the health of populations, and reducing per capita costs of health care.