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Study: Medicare disease management pilot failed

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patient education
Medicare
Hospitalization Rates
disease management programs
Congestive Heart Failure
chronic disease
Mathematica Policy Research
Centers for Medicare and Medicaid Services (CMS)

A new study done by a government-contracted research firm has concluded that Medicare's recent disease management pilot largely failed to meet their goals. 

Back in 2002, CMS awarded 15 demonstration grants to test whether disease management programs could cut Medicare costs and improve quality of care. The programs worked with Medicare patients that suffered from congestive heart failure, coronary artery disease and diabetes, who were randomly assigned to disease management or standard care. The program ended last year.

In the programs, nurses provided patient education and monitoring to improve the ability to communicate with doctors and adhere to their medication, diet, exercise and self-care requirements.

According to the study, which was conducted by Mathematica Policy Research, 13 of the 15 demonstration projects had no real impact on hospitalization rates.

To learn more about the study:
- read this Healthcare Finance News article

Related Articles:
Medicare disease management pilot ending this year
Senators ask CMS to keep disease-management program
Chronic disease becomes major political issue
MN officials focus on chronic disease care

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Comments

Why are we not making it the norm for diabetics to be taught to not eat foods that are high in carbohydrates. Diabetics should be eating a Mediterranean type diet NOT this stupid low fat (high in processed food and sugar substitutes)diet. Most type 2 diabetics can control their "disease" with minimal food modification and exercise and need NO medication but I know that's still looked down on in healthcare since that doesn't produce a patient hooked on a pharmaceutical that doesn't cure only masks and encourages more doctor's visits and the patients dependence on their doctor. Let's encourage lifestyle modifications, there are plenty of real patients!

I am a R.N. who was Dx. with TypeII DM I have controled it with cut back in my food intake. You are right about taking back are control over are bodies. I hate to say this but I have HTN why I love salt on my food. My fault mostly it is are fault.

I've been a practicing Type 1 diabetic for 42 years. I am also a retired BioScientist. I started a Diabetes Support Group at our local Senior Center....People living with diabetes helping people with diabetes. This is a grassroots program that is working well as indicated by the number of Senior Type 2's who have achieved an A1C of <7.0%

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