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Wyoming Department of Health's Pay-for-Participation Program Reports Positive Clinical Outcomes
Date:8/24/2009

CHEYENNE, Wyo., Aug. 24 /PRNewswire/ -- The Wyoming Department of Health reports success in two key aspects of its Pay-for-Participation (P4P) program, a component of its innovative Total Health Record initiative. The results demonstrate both increased collaboration between the practitioner community and the Wyoming EqualityCare (EC) Healthy Together program, as well as improved health practices of Wyoming Medicaid members.

(Logo: http://www.newscom.com/cgi-bin/prnh/20081105/NY44126LOGO )

There are currently more than 80 clinics participating in the P4P program and referring chronically ill patients into the Wyoming EqualityCare Healthy Together nurse coaching program. Both referral and participation rates have been high:

  • 79% of diabetic patients that were referred worked with a health coach, as did
  • 69% of patients diagnosed with attention deficit hyperactivity disorder and asthma.

The P4P program has also improved the health practices of EC clients, as demonstrated by clinical outcomes results such as:

  • 63% increase in the number of children and adults receiving a prescription for long term control of asthma.
  • Increased number of diabetics who had an HbA1c (glycosylated hemoglobin) test by 7.5%.
  • Increased number of diabetics who had a LDL-C (low density lipoprotein cholesterol) test by 36%.

"These are the kinds of results we hoped for when we began the P4P program in 2007," says James Bush, MD, State Medicaid Medical Officer. "They indicate that patients engaged with a health coach have better follow up and adherence with treatment plans and medications. Over the next few years
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SOURCE APS Healthcare
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