Literature DB >> 12363048

Disease burden profiles: an emerging tool for managing managed care.

Yang Zhao1, Arlene S Ash, Randall P Ellis, James P Slaughter.   

Abstract

As health plans assume financial risk for providing health care services, effectively managing the health of a population remains one of the toughest challenges. This article shows how risk assessment methods can be used to measure disease burden in the full population and to discriminate levels of future health care needs within specific disease cohorts. We also examine and compare the predictive power of claims-based models within a diabetic cohort.

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Year:  2002        PMID: 12363048     DOI: 10.1023/a:1019711617120

Source DB:  PubMed          Journal:  Health Care Manag Sci        ISSN: 1386-9620


  10 in total

1.  The sensitivity and specificity of forecasting high-cost users of medical care.

Authors:  R T Meenan; C O'Keeffe-Rosetti; M C Hornbrook; D J Bachman; M J Goodman; P A Fishman; A V Hurtado
Journal:  Med Care       Date:  1999-08       Impact factor: 2.983

2.  Standards of medical care for patients with diabetes mellitus.

Authors: 
Journal:  Diabetes Care       Date:  2000-01       Impact factor: 19.112

3.  Variation in the incidence and proportion of diabetes-related amputations in minorities.

Authors:  L A Lavery; H R Ashry; W van Houtum; J A Pugh; L B Harkless; S Basu
Journal:  Diabetes Care       Date:  1996-01       Impact factor: 19.112

4.  Diabetic ketoacidosis charges relative to medical charges of adult patients with type I diabetes.

Authors:  K A Javor; J G Kotsanos; R C McDonald; A D Baron; J G Kesterson; W M Tierney
Journal:  Diabetes Care       Date:  1997-03       Impact factor: 19.112

5.  Medical care expenditures for diabetes, its chronic complications, and its comorbidities.

Authors:  T A Hodgson; A J Cohen
Journal:  Prev Med       Date:  1999-09       Impact factor: 4.018

6.  Comparison of risk-adjustment systems for the medicaid-eligible disabled population.

Authors:  S M Payne; R D Cebul; M E Singer; J Krishnaswamy; K Gharrity
Journal:  Med Care       Date:  2000-04       Impact factor: 2.983

7.  Economic consequences of diabetes mellitus in the U.S. in 1997. American Diabetes Association.

Authors: 
Journal:  Diabetes Care       Date:  1998-02       Impact factor: 19.112

8.  Using diagnoses to describe populations and predict costs.

Authors:  A S Ash; R P Ellis; G C Pope; J Z Ayanian; D W Bates; H Burstin; L I Iezzoni; E MacKay; W Yu
Journal:  Health Care Financ Rev       Date:  2000

Review 9.  Risk adjustment for a children's capitation rate.

Authors:  J P Newhouse; E M Sloss; W G Manning; E B Keeler
Journal:  Health Care Financ Rev       Date:  1993

10.  Risk-adjusted Medicare capitation rates using ambulatory and inpatient diagnoses.

Authors:  J P Weiner; A Dobson; S L Maxwell; K Coleman; B Starfield; G F Anderson
Journal:  Health Care Financ Rev       Date:  1996
  10 in total
  11 in total

1.  Implementation of an outpatient electronic health record and emergency department visits, hospitalizations, and office visits among patients with diabetes.

Authors:  Mary Reed; Jie Huang; Richard Brand; Ilana Graetz; Romain Neugebauer; Bruce Fireman; Marc Jaffe; Dustin W Ballard; John Hsu
Journal:  JAMA       Date:  2013-09-11       Impact factor: 56.272

2.  Unhealthy drinking patterns and receipt of preventive medical services by older adults.

Authors:  Elizabeth L Merrick; Dominic Hodgkin; Deborah W Garnick; Constance M Horgan; Lee Panas; Marian Ryan; Richard Saitz; Frederic C Blow
Journal:  J Gen Intern Med       Date:  2008-08-21       Impact factor: 5.128

3.  Can primary care visits reduce hospital utilization among Medicare beneficiaries at the end of life?

Authors:  Andrea C Kronman; Arlene S Ash; Karen M Freund; Amresh Hanchate; Ezekiel J Emanuel
Journal:  J Gen Intern Med       Date:  2008-05-28       Impact factor: 5.128

4.  Predicting persistently high primary care use.

Authors:  James M Naessens; Macaran A Baird; Holly K Van Houten; David J Vanness; Claudia R Campbell
Journal:  Ann Fam Med       Date:  2005 Jul-Aug       Impact factor: 5.166

5.  Older adults' inpatient and emergency department utilization for ambulatory-care-sensitive conditions: relationship with alcohol consumption.

Authors:  Elizabeth S Levy Merrick; Dominic Hodgkin; Deborah W Garnick; Constance M Horgan; Lee Panas; Marian Ryan; Frederic C Blow; Richard Saitz
Journal:  J Aging Health       Date:  2010-10-08

6.  Association of Anxiety With High-Cost Health Care Use Among Individuals With Type 2 Diabetes.

Authors:  Esti Iturralde; Felicia W Chi; Richard W Grant; Constance Weisner; Lucas Van Dyke; Alix Pruzansky; Sandy Bui; Philip Madvig; Robert Pearl; Stacy A Sterling
Journal:  Diabetes Care       Date:  2019-06-18       Impact factor: 19.112

7.  Risk adjustment for health care financing in chronic disease: what are we missing by failing to account for disease severity?

Authors:  Theodore A Omachi; Steven E Gregorich; Mark D Eisner; Renee A Penaloza; Irina V Tolstykh; Edward H Yelin; Carlos Iribarren; R Adams Dudley; Paul D Blanc
Journal:  Med Care       Date:  2013-08       Impact factor: 2.983

Review 8.  Key aspects related to implementation of risk stratification in health care systems-the ASSEHS study.

Authors:  Joana Mora; Miren David Iturralde; Lucía Prieto; Cristina Domingo; Marie-Pierre Gagnon; Catalina Martínez-Carazo; Anna Giné March; Daniele De Massari; Tino Martí; Marco Nalin; Francesca Avolio; Jean Bousquet; Esteban de Manuel Keenoy
Journal:  BMC Health Serv Res       Date:  2017-05-05       Impact factor: 2.655

9.  Comparing common reasons for inpatient and outpatient visits between commercially-insured duloxetine or pregabalin initiators with fibromyalgia.

Authors:  Yang Zhao; Peter Sun; Mark Bernauer
Journal:  J Pain Res       Date:  2012-10-31       Impact factor: 3.133

10.  Case selection for a Medicaid chronic care management program.

Authors:  Sharada Weir; Gideon Aweh; Robin E Clark
Journal:  Health Care Financ Rev       Date:  2008
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