Presented to: U.S. Department of Health and Human Services (HHS) Presented by: National Opinion Research Center (NORC) at the University of Chicago 4350 East West Highway, Suite 800 Bethesda, MD 20814 301-634-9300 301-634-9301 (fax) November 18, 2009 (Revised March 28, 2010) ABSTRACT
Baldwin III, A. L. (1999). Research Report: Financial and Risk Considerations for Successful Disease Management Programs. Seattle, WA: Milliman & Robertson, Inc. Billings, J. & Mijanovich, T. (2007). Improving the Management of Care for High-Cost Medicaid Patients. Health Affairs, 26(6):1643-1655. Bruen, B.K. & Miller, L.M. (2008).
Reported AIDS Cases in States with Programs Targeted to HIV/AIDS State Reported AIDS Cases Alabama 8,252 California 139,019 Colorado 8,480 Delaware 3,458 District of Columbia 16,962 Florida
Approved Medicaid Waivers Offering Services Targeted to Individuals with HIV/AIDS
To date, there is no broad evidence base to support the assumption that disease management improves health outcomes and can reduce the cost of care for populations with multiple chronic illnesses. Most of the evidence currently available about DM is for diabetes, asthma, congestive health failure, and chronic obstructive pulmonary disease &nda
Disease Management and Medicaid Waiver Services for HIV/AIDS Patients. Disease Management for HIV/AIDS
Antiretroviral treatment has extended the lifespan of people with HIV infection, and more people become infected with HIV than die from the disease each year. Since the mid-1990s, the age-adjusted HIV death rate has declined by more than 70 percent (Kaiser Family Foundation, 2008). As more people with HIV infection live longer, the demand for HIV
A 2003 study of three Medicaid DM programs (for all chronic conditions, not HIV-specific DM) indicated that the states’ varied program designs produced short-term net savings and improved outcomes in their patient populations (Gillespie & Rossiter, 2003). Because of the variability in the programs reviewed and the range of chronic co
Disease Management and Medicaid Waiver Services for HIV/AIDS Patients. Disease Management for Complex Medical Conditions
In January 2008, the HHS Office of the Assistant Secretary for Planning and Evaluation (ASPE) convened an expert panel to discuss outcomes measurement issues related to DM for populations with chronic conditions. The panel included researchers and clinicians, and the discussion noted that the inconsistency in methodologies used to evaluate DM prog
Disease Management and Medicaid Waiver Services for HIV/AIDS Patients. Disease Management: Findings from the Literature
Mixed results from studies of disease management programs in general indicate there is no conclusive evidence of the impact of the programs on cost-effectiveness and health outcomes. According to the Congressional Budget Office’s 2004 analysis of disease management studies for several chronic diseases, there is insufficient evidence to c
The prevalence of chronic disease in the U.S. is a significant public health issue. About 133 million people, almost half of all Americans, have at least one chronic health condition – for example, heart disease, asthma, or diabetes. The Centers for Disease Control and Prevention (CDC) estimates that chronic diseases account for 70% of a
Disease management (DM) refers to a system of coordinated health care interventions and communications to help patients self-manage their chronic diseases and prevent complications from these health conditions. DM has been touted by vendors as an effective tool to reduce health care costs. Some DM vendors have claimed that disease management progr
Disease management (DM) is a system of coordinated health care interventions and communications to help patients self-manage their chronic diseases and prevent complications from these health conditions.
This paper examines the limited evidence to date on the impact of disease management (DM) for low-income populations enrolled in public insurance programs, and explores issues concerning the effectiveness of DM targeted to people living with HIV/AIDS.
1.DATA2010 is an interactive online database that includes the most recent national and selected state data for tracking the HP2010 objectives. 2.The U.S. Department of Health and Human Services operates ten regional offices across the nation. Each office is directed by a Regional Health Administrator. 3.The HP2010 program currently mainta
Assessment of the Uses and Users of Healthier US and Healthy People 2010. Appendix 4: Emerging HealthierUS Programs
Since the development of HealthierUS, many health departments have incorporated The President’s Recommendations for Improving Physical Fitness and Nutrition, Prevention and Avoiding Risky Behaviors into their health promotion activities. Some programs have used HealthierUS to supplement HP2010 activities while other programs have incorporated He
Assessment of the Uses and Users of Healthier US and Healthy People 2010. Appendix 3: Frequencies of Use
Uses of HealthierUS: Organization Size by FTE Large Medium Small N % N
That is all that we had planned to ask you. We very much appreciate your time and effort. Before we end, is there anything else that you would like to tell us – any additional thoughts or insights about the HealthierUS or Healthy People 20210? Phone Interview Respondent Characteristics
Assessment of the Uses and Users of Healthier US and Healthy People 2010. Section 4 – State and Local Users
We are also interested in learning about activities occurring at your organization surrounding the Healthy People 2010 or HealthierUS initiatives.
HHS and the Office of the Assistant Secretary for Planning and Evaluation are particularly interested in learning ways to improve the initiatives for use by tribal health entities.
In your responses to the initial questionnaire, you mentioned that your health organization uses the Healthy People 2010 program. We’d like to discuss, in a bit more detail, some of the ways you receive information about the program and some possibilities for HHS to improve its communication with health organizations like yours.