Intensive Management Program Benefits High-Risk Patients

Share this content:
Intensive Management Program Benefits High-Risk Patients
Intensive Management Program Benefits High-Risk Patients

MONDAY, July 2, 2018 (HealthDay News) -- For high-risk patients, use of an intensive management program is associated with greater receipt of outpatient care with no increase in total costs, according to a study published in the June 19 issue of the Annals of Internal Medicine.

Jean Yoon, Ph.D., from the U.S. Department of Veterans Affairs in Menlo Park, California, and colleagues examined whether augmenting usual primary care with team-based intensive management reduces utilization and costs for high-risk patients in five U.S. Department of Veterans Affairs medical centers. A total of 2,210 patients with an average of seven chronic conditions were randomized to intensive management and usual care (1,105 patients to each).

The researchers found that 44 percent of the patients assigned to intensive management received intensive outpatient care, with three or more encounters in person or by telephone, and 18 percent received limited intervention. The mean inpatient costs decreased more for the intensive management than the usual care group from the pre- to post-randomization periods (−$2,164). Compared with the usual care group, outpatient costs increased more for the intensive management group ($2,636), which was driven by more use of primary care, home care, telephone care, and telehealth. Before and after randomization, the mean total costs were similar in the two groups.

"High-risk patients with access to an intensive management program received more outpatient care with no increase in total costs," the authors write.

Abstract/Full Text (subscription or payment may be required)

Share this content:

is free, fast, and customized just for you!




Already a member?

Sign In Now »

Trending Activities

All Professions

Drug Lookup

Browse drugs by: BrandGenericDisease

More in Home

Ancient Gene Protects Elephants From Cancer

Ancient Gene Protects Elephants From Cancer

The LIF6 gene destroys cells with damaged DNA

Reasons for Undergoing Cosmetic Procedures Explored

Reasons for Undergoing Cosmetic Procedures Explored

Psychological and emotional motivations more likely in patients wanting acne scar tx, tattoo removal

DNR Orders Linked to Increased Mortality in Older Adults

DNR Orders Linked to Increased Mortality in Older ...

Early versus late DNR tied to shorter median length of stay in hospitalized adults aged 65 years and older

is free, fast, and customized just for you!




Already a member?

Sign In Now »