Does diabetes disease management save money and improve outcomes? A report of simultaneous short-term savings and quality improvement associated with a health maintenance organization-sponsored disease management program among patients fulfilling health employer data and information set criteria

Diabetes Care
Jaan SidorovRonald Harris

Abstract

Little is known about the impact of disease management programs on medical costs for patients with diabetes. This study compared health care costs for patients who fulfilled health employer data and information set (HEDIS) criteria for diabetes and were in a health maintenance organization (HMO)-sponsored disease management program with costs for those not in disease management. We retrospectively examined paid health care claims and other measures of health care use over 2 years among 6,799 continuously enrolled Geisinger Health Plan patients who fulfilled HEDIS criteria for diabetes. Two groups were compared: those who were enrolled in an opt-in disease management program and those who were not enrolled. We also compared HEDIS data on HbA(1c) testing, percent not in control, lipid testing, diabetic eye screening, and kidney disease screening. All HEDIS measures were based on a hybrid method of claims and chart audits, except for percent not in control, which was based on chart audits only. Of 6,799 patients fulfilling HEDIS criteria for the diagnosis of diabetes, 3,118 (45.9%) patients were enrolled in a disease management program (program), and 3,681 (54.1%) were not enrolled (nonprogram). Both groups had similar male-to-fem...Continue Reading

References

May 11, 1995·The New England Journal of Medicine·A S KrolewskiJ H Warram
Sep 30, 1993·The New England Journal of Medicine·UNKNOWN Diabetes Control and Complications Trial Research GroupC Siebert
Jan 1, 1996·Annals of Internal Medicine·K E Quickel
May 1, 1996·Annals of Internal Medicine·R S Epstein, L M Sherwood
May 1, 1996·Annals of Internal Medicine·J M Harris
Dec 5, 1997·JAMA : the Journal of the American Medical Association·G EllrodtS Weingarten
Dec 24, 1997·Diabetes Care·T P GilmerW A Rush
Oct 31, 1998·BMJ : British Medical Journal
Apr 15, 1999·The New England Journal of Medicine·T Bodenheimer
May 26, 1999·Southern Medical Journal·B L GrundelB H Eichold
Sep 24, 1999·Archives of Internal Medicine·J B BrownA W Bakst
Feb 25, 2000·BMJ : British Medical Journal·T GreenhalghS Farrow
Feb 15, 2001·JAMA : the Journal of the American Medical Association·E H WagnerL C Grothaus
Feb 24, 2001·Clinical Performance and Quality Health Care·S H Lob, N D Kohatsu
Apr 25, 2001·Diabetologia·P ClarkeUNKNOWN UKPDS Group. United Kingdom Prospective Diabetes Study
Jul 5, 2001·Diabetic Medicine : a Journal of the British Diabetic Association·M DaviesJ R Peters
Jul 17, 2001·Journal of Internal Medicine·A NorlundB Scherstén

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Citations

May 6, 2006·International Journal of Technology Assessment in Health Care·Lotte SteutenCor Spreeuwenberg
Mar 24, 2004·Disease Management : DM·Donna Lynne
Aug 26, 2011·Diabetes Technology & Therapeutics·Geremia B BolliEllie S Strock
Jan 27, 2005·Disease Management : DM·Anthony J GreisingerP Kay Champion
Apr 9, 2005·Disease Management : DM·David S Krause
Aug 25, 2005·Disease Management : DM·Jeffrey K Levin-Scherz
Dec 15, 2005·Disease Management : DM·Jaan Sidorov, Claudia Schlosberg
Apr 9, 2005·Disease Management : DM·Lawrence M EspinetVictor G Villagra
Oct 19, 2006·Disease Management : DM·Patty M OrrNeil I Goldfarb
Aug 28, 2007·Disease Management : DM·Gregory D Berg, Sandeep Wadhwa
Oct 27, 2007·Disease Management : DM·Gregory D BergJohn F Newman
Apr 9, 2008·Disease Management : DM·David R LairsonOscar Wehmanen
Dec 26, 2008·Population Health Management·Karen FitznerJames E Specker
Feb 26, 2011·Population Health Management·Elizabeth Y RulaRobert E Stone
Jan 31, 2012·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Renée PekmezarisKevin Smolich
Aug 27, 2005·JAAPA : Official Journal of the American Academy of Physician Assistants·Ali A Rizvi
Dec 6, 2007·International Journal of Clinical Practice. Supplement·B J GoldsteinUNKNOWN Global Partnership for Effective Diabetes Management
Oct 18, 2008·Annual Review of Public Health·Katie ColemanEdward H Wagner
May 21, 2011·The Journal of Economic Perspectives : a Journal of the American Economic Association·Mark McClellan
Nov 6, 2003·Clinical Chemistry and Laboratory Medicine : CCLM·Christopher P Price
Sep 19, 2008·American Journal of Public Health·James X ZhangMarshall H Chin
Feb 1, 2008·Medical Teacher·Susan R Swing
Dec 4, 2012·Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen·Anna DrabikStephanie Stock
Jun 18, 2011·Academic Radiology·Aine Marie Kelly, Paul Cronin
Jul 17, 2009·European Journal of Internal Medicine·David M KendallRichard M Bergenstal
Jun 2, 2009·The American Journal of Medicine·David M KendallRichard M Bergenstal
Nov 7, 2006·Diabetes Research and Clinical Practice·S LuzioR Landgraf
May 25, 2004·Diabetic Medicine : a Journal of the British Diabetic Association·M Varroud-VialG Charpentier
Jun 3, 2006·Obesity·Jaan E Sidorov, Karen Fitzner
Jan 13, 2006·Journal of the American Academy of Nurse Practitioners·Barbara Ann Mullen, Patricia Ann Watts Kelley
Jun 14, 2013·The Milbank Quarterly·Teryl K NuckolsSteven M Asch

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