Document Detail


Clinical Metric and Medication Persistency Effects: Evidence from a Medicaid Care Management Program.
MedLine Citation:
PMID:  25093610     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Abstract The objective was to estimate clinical metric and medication persistency impacts of a care management program. The data sources were Medicaid administrative claims for a sample population of 32,334 noninstitutionalized Medicaid-only aged, blind, or disabled patients with diagnosed conditions of asthma, coronary artery disease, chronic obstructive pulmonary disease, diabetes, or heart failure between 2005 and 2009. Multivariate regression analysis was used to test the hypothesis that exposure to a care management intervention increased the likelihood of having the appropriate medication or procedures performed, as well as increased medication persistency. Statistically significant clinical metric improvements occurred in each of the 5 conditions studied. Increased medication persistency was found for beta-blocker medication for members with coronary artery disease, angiotensin-converting enzyme inhibitor/angiotensin receptor blocker and diuretic medications for members with heart failure, bronchodilator and corticosteroid medications for members with chronic obstructive pulmonary disease, and aspirin/antiplatelet medications for members with diabetes. This study demonstrates that a care management program increases the likelihood of having an appropriate medication dispensed and/or an appropriate clinical test performed, as well as increased likelihood of medication persistency, in people with chronic conditions. (Population Health Management 2014;xx:xxx-xxx).
Authors:
Gregory D Berg; Fredric Leary; Wendie Medina; Shawn Donnelly; Kathleen Warnick
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-8-5
Journal Detail:
Title:  Population health management     Volume:  -     ISSN:  1942-7905     ISO Abbreviation:  Popul Health Manag     Publication Date:  2014 Aug 
Date Detail:
Created Date:  2014-8-5     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101481266     Medline TA:  Popul Health Manag     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
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