The affordable care act lays the groundwork for a national diabetes prevention and treatment strategy

Health Affairs

Volumn 31, Issue 1, 2012, Pages 61-66

  Thorpe, Kenneth E ^a  

^a EMORY UNIVERSITY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; BODY WEIGHT; BUDGET; CONTROL STRATEGY; DIABETES MELLITUS; GLUCOSE TOLERANCE TEST; HEALTH CARE COST; HEALTH CARE POLICY; HEALTH CARE QUALITY; HEALTH PROGRAM; HUMAN; HYPERLIPIDEMIA; HYPERTENSION; INCIDENCE; LIFESTYLE MODIFICATION; MEDICAID; MEDICAL EDUCATION; MEDICARE; OBESITY; OUTCOME ASSESSMENT; SCREENING; TREATMENT PLANNING; UNITED STATES; EVIDENCE BASED MEDICINE; LIFESTYLE; WEIGHT REDUCTION;

DIABETES MELLITUS; EVIDENCE-BASED MEDICINE; HUMANS; LIFE STYLE; MEDICARE; PATIENT PROTECTION AND AFFORDABLE CARE ACT; UNITED STATES; WEIGHT LOSS;

EID: 84855690099     PISSN: 02782715     EISSN: 15445208     Source Type: Journal    
DOI: 10.1377/hlthaff.2011.1023     Document Type: Article

References (26)

1. Centers for Disease Control and Prevention. National diabetes fact sheetsheet: national estimates and general information on diabetes and prediabetes in the United States, 2011 [Internet]. Atlanta (GA): CDC; 2011 [cited 2011 Dec 7]. Available from: http://www.cdc.gov/diabetes/ pubs/pdf/ndfs_2011.pdf
2. Agency for Healthcare Research and Quality. Medical Expenditure Panel Survey, 2008 [Internet]. Rockville (MD): AHRQ; [cited 2012 Jan 5]. Available from: http://www.meps.ahrq.gov/mepsweb/index.jsp
3. Ezzati-Rice T, Rohde F, Greenblatt J. Sample design of the Medical Expenditure Panel Survey Household Component, 1998-2007 [Internet]. Rockville (MD): AHRQ; 2008 [cited 2012 Jan 5]. (MEPS Methodology Report No. 22). Available from: http://www.meps.ahrq.gov/mepsweb/data_files/publications/mr22/mr22.shtml
4. Agency for Healthcare Research and Quality. National Medical Expenditure Survey, 1987. Rockville (MD): AHRQ.
5. Cohen S, DiGaetano R, Waksberg J. Sample design of the 1987 Household Survey, National Medical Expenditure Survey. Rockville (MD): AHRQ; 1991. (MEPS Survey Methods 3, Publication No. 91-0037).
6. Boyle JP, Honeycutt AA, Narayan KMV, Hoerger TJ, Geiss LS, Chen H, et al. Projection of diabetes burden through 2050. Diabetes Care. 2001;24(11):1936-40.
7. Gregg EW, Cadwell BL, Cheng YJ, Cowie CC, Williams DE, Geiss L, et al. Trends in the prevalence and ratio of diagnosed to undiagnosed diabetes according to obesity levels in the U.S. Diabetes Care. 2004;27(12): 2806-12.
8. Thorpe KE, Ogden LL, Galactionova K. Chronic conditions account for rise in Medicare spending from 1987 to 2006. Health Aff (Millwood). 2010;29(4):718-24.
9. Thorpe KE, Yang Z. Enrolling people with prediabetes ages 60-64 in a proven weight loss program could save Medicare $7 billion or more. Health Aff (Millwood). 2011;30(9): 1673-9.
10. Knowler WC, Barrett-Connor E, Fowler SE, Hamman RF, Lachin JM, Walker EA, et al. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med. 2002;346(6): 393-403.
11. Ackermann RT, Finch EA, Brizendine E, Zhou H, Marrero DG. Translating the Diabetes Prevention Program into the community. The DEPLOY Pilot Study. Am J Prev Med. 2008;35(4):357-63.
12. Diabetes Prevention Program Research Group, Knowler WC, Fowler SE, Hamman RF, Christophi CA, Hoffman HJ, et al. 10-year follow-up of diabetes incidence and weight loss in the Diabetes Prevention Program Outcomes Study. Lancet. 2009;374(9702): 1677-86.
13. Diabetes Training and Technical Assistance Center [home page on the Internet]. Atlanta (GA): The Center; [cited 2011 Dec 8]. Available from: http://dttac.org/
14. Vaughan L. The YMCA Diabetes Prevention Program [Internet]. Chicago (IL): YMCA of the USA; 2010 Jul 24 [cited 2011 Dec 20]. Available from: http://www.allhealth.org/briefingmaterials/LynneVaughanPresentation-doc-1825.ppt
15. Jencks SF, Williams MV, Coleman EA. Rehospitalization among patients in the Medicare feefor-service program. N Engl J Med. 2009;360(14):1418-28.
16. Author's calculations using data from Notes 15 and 17
17. Congressional Budget Office. March 2011 Medicare baseline [Internet]. Washington (DC): CBO; 2011 Mar 18 [cited 2011 Dec 8]. Available from: http://www.cbo.gov/budget/factsheets/2011b/ medicare.pdf
18. Thorpe KE. Building evidence based models to avert disease and reduce health care spending [Internet]. Atlanta (GA): Emory University; 2011 Aug [cited 2011 Dec 20]. Available from: http://www.fightchronicdisease.org/sites/default/files/docs/Thorpe%20-%20Care%20Coord%20Savings%20-%20Final-1.pdf
19. Vermont Blueprint for Health. 2010 annual report [Internet]. Burlington (VT): Department of Vermont Health Access; 2011 Jan [cited 2011 Dec 19]. Available from: http://hcr.vermont.gov/sites/hcr/files/final_annual_report_01_26_11.pdf
20. Community Care of North Carolina [home page on the Internet]. Raleigh (NC): Community Care of North Carolina; c2011 [cited 2011 Dec 19]. Available from: http://www.communitycarenc.org/
21. Naylor MD, Brooten DA, Campbell RL, Maislin G, McCauley KM, Schwartz JS. Transitional care of older adults hospitalized with heart failure: a randomized, controlled trial. J Am Geriatr Soc. 2004;52(5):675-84.
22. Wennberg DE, Marr A, Lang L, O'Malley S, Bennett G. A randomized trial of a telephone caremanagement strategy. N Engl J Med. 2010;363:1245-55.
23. Treo Solutions. Community Care of North Carolina: results for the ABD non-dual population [Internet]. Troy (NY): Treo Solutions; [cited 2012 Jan 5]. Available from: http://www.communitycarenc.org/elements/media/relateddownloads/treo-analysis-of-ccncperformance.pdf
24. Author's calculations based on Vermont staffing ratios. Vermont Blueprint for Health. 2009 annual report [Internet]. Burlington (VT): Vermont Department of Health; 2010 Jan [cited 2011 Dec 8]. Available from: http://hcr.vermont.gov/sites/hcr/files/pdfs/BP2009Annual Report2010_03_29.pdf
25. Author's estimate of new jobs based on staffing ratios in Note 24 and number of Medicare beneficiaries enrolled in fee-for-service Medicare in Note 17
26. Salinsky E. Government public health: an overview of state and local public health agencies. Washington (DC): National Health Policy Forum; 2010 Aug. (Background Paper No. 77).