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Team-based diabetes care fetches more value for dollar
Date:2/26/2009

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The researchers caution that the study was only able to include data for a short period of time after team-based care was initiated. Therefore, it is possible that a multi-year study could show longer-term savings associated with the program. Still, "Our findings suggest that even if longer-term savings do not materialize, Medicaid and Medicare patients in this study received greater value for their dollars in the CareSouth sites after the intervention," Scanlon explained.

Scanlon and his colleagues first identified 199 patients with type 2 diabetes -- from a sample of 2,572 patients -- in whom the disease had been diagnosed less than a year before the start of intervention. The control group was 1,868 patients who had been diagnosed with the disease more than a year after intervention.

"Our objective was to assess the impact of CareSouth's program on short-term Medicaid payments, as well as Medicare payments by those eligible for that Federal insurance program, and on key clinical diabetes indicators," explained Scanlon, whose findings appeared in a recent issue of Diabetes Care.

Statistical analyses suggest that for CareSouth patients, the average one-year payments before and after the intervention rose in the post-intervention period for all types of care -- inpatient, non-hospital outpatient, hospital outpatient, and pharmacy -- except hospital-based outpatient care. For control patients, however, the payments rose for all types of care except inpatient care.


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Contact: Amitabh Avasthi
axa47@psu.edu
814-865-9481
Penn State
Source:Eurekalert

Page: 1 2

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