Medicare Health Support Pilot Program

Journal article

Clark, Alexander Michael and Thompson, David. (2012). Medicare Health Support Pilot Program. The New England Journal of Medicine. 366(7), pp. 667-668. https://doi.org/10.1056/NEJMc1114006
AuthorsClark, Alexander Michael and Thompson, David
Abstract

To the Editor: McCall and Cromwell (Nov. 3 issue)1 raise doubts about the ability of commercial disease-management programs to improve the quality of care and reduce utilization in the Medicare fee-for-service population. In contrast to the programs noted in the study, we have successfully approached disease support, admittedly in the Medicare Advantage population, with a different strategy supported by the medical literature (Table 1).2,3 Key differences in our approach include risk stratification targeting those at highest risk, a boots-on-the-ground approach with clinician home visits allowing for identification and intervention on both social and health determinants of utilization, and communication . . .

Keywordsdisease management program; Medicare; fee-for-service; Medicare Advantage; risk stratification; home visits; health communication
Year01 Jan 2012
JournalThe New England Journal of Medicine
Journal citation366 (7), pp. 667-668
PublisherMassachusetts Medical Society/NEJM
ISSN0028-4793
Digital Object Identifier (DOI)https://doi.org/10.1056/NEJMc1114006
Web address (URL)https://www.nejm.org/doi/abs/10.1056/NEJMc1114006
Open accessPublished as non-open access
Research or scholarlyResearch
Page range667-668
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All rights reserved
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Output statusPublished
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Print16 Feb 2012
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Deposited25 Jul 2024
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Copyright © 2024 Massachusetts Medical Society. All rights reserved.

Place of publicationUnited States
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Clark, Alexander Michael, Dalal, Hayes M., Dafoe, William, Stone, James A. and Lewin, Robert J.P.. (2009). Effectiveness of secondary prevention programmes in CHD. The Lancet. 373(9676), pp. 1671 - 1671. https://doi.org/10.1016/S0140-6736(09)60931-4
Qualitative research: What it is and what it can contribute to cardiology in the young
Clark, Alexander Michael. (2009). Qualitative research: What it is and what it can contribute to cardiology in the young. Cardiology in the Young. 19(2), pp. 131 - 144. https://doi.org/10.1017/S1047951109003746
Socioeconomic status and cardiovascular disease: Risks and implications for care
Clark, Alexander Michael, DesMeules, Marie, Luo, Wei, Duncan, Amanda S. and Wielgosz, Andy. (2009). Socioeconomic status and cardiovascular disease: Risks and implications for care. Nature Reviews Cardiology. 6(11), pp. 712 - 722. https://doi.org/10.1038/nrcardio.2009.163
What is strength of evidence for heart failure disease- management programs?
Clark, Alexander Michael, Savard, Lori A. and Thompson, David Robert. (2009). What is strength of evidence for heart failure disease- management programs? Journal of the American College of Cardiology. 54(5), pp. 397 - 401. https://doi.org/10.1016/j.jacc.2009.04.051
A systematic review of the effectiveness of cutaneous warming systems to prevent hypothermia
Galvuo, Cristina M., Marck, Patricia B., Sawada, Namie O. and Clark, Alexander Michael. (2009). A systematic review of the effectiveness of cutaneous warming systems to prevent hypothermia. Journal of Clinical Nursing. 18(5), pp. 627 - 636. https://doi.org/10.1111/j.1365-2702.2008.02668.x
Complex critical realism: Tenets and application in nursing research
Clark, Alexander Michael, Lissel, Sue L. and Davis, Carol. (2008). Complex critical realism: Tenets and application in nursing research. Advances in Nursing Science. 31(4), pp. 67 - 79. https://doi.org/10.1097/01.ANS.0000341421.34457.2a
The potential of nursing to reduce the burden of heart failure in rural Canada: What strategies should nurses prioritize?
Clark, Alexander Michael, Freydberg, N. O., Heath, S. L., Savard, L., McDonald, Marla and Strain, L.. (2008). The potential of nursing to reduce the burden of heart failure in rural Canada: What strategies should nurses prioritize? Canadian Journal of Cardiovascular Nursing. 18(4), pp. 40 - 46.
The future of management programmes for heart failure
Clark, Alex and Thompson, David. (2008). The future of management programmes for heart failure. The Lancet. 372(9641), pp. 784 - 786. https://doi.org/10.1016/S0140-6736(08)61317-3
Patients' experiences of disruptions associated with post-stroke dysarthria
Dickson, Sylvia, Barbour, Rosaline S., Brady, Marian, Clark, Alexander Michael and Paton, Gillian. (2008). Patients' experiences of disruptions associated with post-stroke dysarthria. International Journal of Language and Communication Disorders. 43(2), pp. 135 - 153. https://doi.org/10.1080/13682820701862228
Commentary by Clark
Clark, Alex. (2008). Commentary by Clark. Western Journal of Nursing Research. 30(4), pp. 491 - 494. https://doi.org/10.1177/0193945907303142
The complex nature of informal care in home-based heart failure management
Clark, Alexander Michael, Reid, Machar, Morrison, Caroline E., Capewell, Simon, Murdoch, David L. and McMurray, John J.. (2008). The complex nature of informal care in home-based heart failure management. Journal of Advanced Nursing. 61(4), pp. 373 - 383. https://doi.org/10.1111/j.1365-2648.2007.04527.x