Schneider Institutes for Health Policy
Research Publication Summary
| Citation: | Tompkins CP, Bhalotra S, Trisolini M (1999). Applying Disease Management Strategies to Medicare. Milbank Quarterly 77 (4): 461-484. |
| Abstract Medicare coverage begins for many when they have already developed one or more chronic diseases, and it often pays for the latest and costliest phases. Population-based disease modeling, patient screening, and monitoring would be appropriate interventions for chronic renal disease. Patients who have not yet advanced to end-stage renal disease would benefit from management of diabetes and hypertension, avoidance of nephrotoxic substances, and better preparation for dialysis. Administrative support could take the form of clinical guidelines, physician-led multidisciplinary teams, integrated delivery systems, provider and patient education, and new information technologies. Medicare reflects the long-term public perspective, and thus should further this new direction by supporting education, reimbursing for prevention efforts and allied health services, encouraging efficiency, and monitoring cost and quality outcomes. | |
| More Information: | www.blackwell–synergy.com |
| Research Area: | Acute and Chronic Health Care |
| Core Competencies: | Financing, Organizations, Quality, High Risk & Costly Populations |
