Sep 14, 2013

Effects of care management and telehealth: a longitudinal analysis using medicare data

Journal of the American Geriatrics Society
Laurence C BakerHoward G Birnbaum


To evaluate mortality and healthcare utilization effects of an intervention that combined care management and telehealth, targeting individuals with congestive heart failure, chronic obstructive pulmonary disease, or diabetes mellitus. Retrospective matched cohort study. Northwest United States. High-cost Medicare fee-for-service beneficiaries (N = 1,767) enrolled in two Centers for Medicare and Medicaid Services demonstration participating clinics and a propensity-score matched control group. The Health Buddy Program, which integrates a content-driven telehealth system with care management. Mortality, inpatient admissions, hospital days, and emergency department (ED) visits during the 2-year study period were measured. Cox-proportional hazard models and negative binomial regression models were used to assess the relationship between the intervention and survival and utilization, controlling for demographic and health characteristics that were statistically different between groups after matching. At 2 years, participants offered the Health Buddy Program had 15% lower risk-adjusted all-cause mortality (hazard ratio (HR) = 0.85, 95% confidence interval (CI) = 0.74-0.98; P = .03) and had reductions in the number of quarterly inpa...Continue Reading

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Mentioned in this Paper

Chronic Airflow Obstruction
Health Outcomes
Health Care Systems
Insurance, Health, for Aged and Disabled
Proportional Hazards Models
Chronic Obstructive Airway Disease
Myocardial Failure
Retrospective Studies
Diabetes Mellitus

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