作者: Shasky C , Whitehurst-Cook My , Ibrahim Ia , Lee K , Okasha A
DOI:
关键词: Medicaid 、 Cost of care 、 Adverse effect 、 Intervention (counseling) 、 General partnership 、 Medicine 、 Disease management (health) 、 Medical emergency 、 Quarter (United States coin) 、 Asthma
摘要: An asthma disease management program designed specifically for low-income patients experiencing significant adverse events can improve health outcomes substantially, while lowering costs. The Virginia Health Outcomes Partnership aimed to help physicians in a fee-for-service primary care case manage Medicaid recipients. Approximately one-third of treating an area designated as the intervention community volunteered participate training on and communication skills. This large-scale study discovered that rate emergency visit claims participating who received feedback reports dropped average 41% from same quarter year earlier, compared only 18% comparison physicians. Although third participated training, rates all nonetheless declined by 6% relative among moderate-to-severe when data nonparticipating were combined. At time, dispensing some reliever drugs recommended increased 25% community. A cost-effectiveness analysis projected direct savings $3 $4 every incremental dollar spent providing support results this demonstrate potential offers, especially programs other states want their networks and, at