Margaret A Kadree, Patrick Wiggins, Lura Thompson, Cynthia Warriner, Michelle White
{"title":"Evaluation of a Chronic Care Management Model for Improving Efficiency and Fiscal Sustainability.","authors":"Margaret A Kadree, Patrick Wiggins, Lura Thompson, Cynthia Warriner, Michelle White","doi":"10.2105/AJPH.2024.307886","DOIUrl":null,"url":null,"abstract":"<p><p>Chronic care management is effective. Barriers to program durability include dependence on the provider-nurse duo to carry out labor-intensive services and the lack of a fiscally sustainable model. Between January and October 2022, an expanded chronic care management team-consisting of a provider, nurse, community health worker, and pharmacist-conducted a four-month intervention in an ambulatory setting. This intervention, using a convenience sample of 134 Medicare patients with uncontrolled type 2 diabetes or hypertension, demonstrated statistically significant improvements in controlling type 2 diabetes (<i>P</i> < .01) and blood pressure (<i>P</i> < .001). Direct provider workload decreased, and the Medicare reimbursement rate was 85.5%. (<i>Am J Public Health</i>. 2025;115(2):133-137. https://doi.org/10.2105/AJPH.2024.307886).</p>","PeriodicalId":7647,"journal":{"name":"American journal of public health","volume":" ","pages":"133-137"},"PeriodicalIF":9.6000,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11715579/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"American journal of public health","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.2105/AJPH.2024.307886","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/11/21 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
引用次数: 0
Abstract
Chronic care management is effective. Barriers to program durability include dependence on the provider-nurse duo to carry out labor-intensive services and the lack of a fiscally sustainable model. Between January and October 2022, an expanded chronic care management team-consisting of a provider, nurse, community health worker, and pharmacist-conducted a four-month intervention in an ambulatory setting. This intervention, using a convenience sample of 134 Medicare patients with uncontrolled type 2 diabetes or hypertension, demonstrated statistically significant improvements in controlling type 2 diabetes (P < .01) and blood pressure (P < .001). Direct provider workload decreased, and the Medicare reimbursement rate was 85.5%. (Am J Public Health. 2025;115(2):133-137. https://doi.org/10.2105/AJPH.2024.307886).
期刊介绍:
The American Journal of Public Health (AJPH) is dedicated to publishing original work in research, research methods, and program evaluation within the field of public health. The journal's mission is to advance public health research, policy, practice, and education.