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… Expand
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
TLDR
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. Expand
Strategies to Improve Corporate Financial Investment in Care Coordination Programs
Strategies to Improve Corporate Financial Investment in Care Coordination Programs by Shameka Coles MBA, University of Phoenix, 2004 BS, Howard University, 1997 Doctoral Study Submitted in PartialExpand
Innovative Solutions to Care for Individuals With Diabetes in Underserved Populations
TLDR
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. Expand
How can clinical practices pragmatically increase physical activity for patients with type 2 diabetes? A systematic review
TLDR
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. Expand
Clinical Use of Continuous Glucose Monitoring in Adults with Type 2 Diabetes
TLDR
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. Expand
Practical Strategies for Assessing Patient Physical Activity Levels in Primary Care
TLDR
A strategy may be to promote the adoption of large-scale routine PA assessment as a first step toward more comprehensive PA counseling during the primary care visit. Expand
Millennial managers: exploring the next generation of talent.
  • N. Gerard
  • Medicine, Psychology
  • Leadership in health services
  • 2019
TLDR
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. Expand
DYSGLYCEMIA-BASED CHRONIC DISEASE: AN AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS POSITION STATEMENT.
TLDR
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. Expand
Insurance Status and Biological and Psychosocial Determinants of Cardiometabolic Risk Among Mexican-Origin U.S. Hispanic/Latino Adults with Type 2 Diabetes
TLDR
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. Expand

References

SHOWING 1-10 OF 13 REFERENCES
The Patient-Centered Medical Neighborhood and Diabetes Care
TLDR
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. Expand
Effects of a Medical Home and Shared Savings Intervention on Quality and Utilization of Care.
TLDR
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. Expand
Multipayer patient-centered medical home implementation guided by the chronic care model.
TLDR
Transforming primary care delivery through implementation of the Patient-Centered Medical Home guided by the Chronic Care Model supported by multipayer infrastructure payments holds significant promise to improve diabetes care. Expand
Association between participation in a multipayer medical home intervention and changes in quality, utilization, and costs of care.
TLDR
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. Expand
Cost of Transformation among Primary Care Practices Participating in a Medical Home Pilot
Medical home initiatives encourage primary care practices to invest in new structural capabilities such as patient registries and information technology, but little is known about the costs of theseExpand
A Positive Deviance Approach to Understanding Key Features to Improving Diabetes Care in the Medical Home
TLDR
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. Expand
Medical homes and cost and utilization among high-risk patients.
TLDR
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. Expand
Projection of the year 2050 burden of diabetes in the US adult population: dynamic modeling of incidence, mortality, and prediabetes prevalence
TLDR
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. Expand
Economic Costs of Diabetes in the U.S. in 2002
TLDR
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. Expand
Launching accountable care organizations--the proposed rule for the Medicare Shared Savings Program.
  • D. Berwick
  • Medicine
  • The New England journal of medicine
  • 2011
TLDR
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. Expand
...
1
2
...