Medical groups can reduce costs by investing in improved quality of care for patients with diabetes

Health Affairs

Volumn 31, Issue 8, 2012, Pages 1830-1835

  Kralewski, John E ^a   Dowd, Bryan E ^b   Xu, Yi Wendy ^b  

^a UNIVERSITY OF MINNESOTA   (United States)

^b UNIVERSITY OF MINNESOTA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

LOW DENSITY LIPOPROTEIN;

ARTICLE; COST CONTROL; DIABETES MELLITUS; DIABETIC PATIENT; HEALTH CARE COST; HEALTH CARE PERSONNEL; HEALTH CARE QUALITY; HUMAN; MEDICAL PRACTICE; MEDICAL SOCIETY; MEDICARE;

COST CONTROL; DIABETES MELLITUS; GROUP PRACTICE; HEALTH CARE SURVEYS; HUMANS; MEDICARE; QUALITY OF HEALTH CARE; UNITED STATES;

EID: 84866321604     PISSN: 02782715     EISSN: 15445208     Source Type: Journal    
DOI: 10.1377/hlthaff.2011.0887     Document Type: Article

References (12)

1. Devers K, Berenson R. Can accountable care organizations improve the value of health care by solving the cost and quality quandaries? [Internet].Washington (DC): Urban Institute; 2009 Oct [cited 2012 Jul 16]. Available from: http:// www.urban.org/UploadedPDF/ 411975_acountable_care_orgs.pdf
2. Casalino J, Gillies RR, Shortell SM, Schmittdiel JA, Bodenheimer T, Robinson JC, et al. External incentives, information technology, and organized processes to improve health care quality for patients with chronic diseases. JAMA. 2003; 289(4):434-41.
3. Iglehart JK. The ACO regulations-some answers, more questions. N Engl J Med. 2011;364(17):e35.
4. Berenson RA. Shared Savings Program for accountable care organizations: a bridge to nowhere? Am J Manag Care. 2010;16(10):721-6.
5. Sidorov J, Shull R, Tomcavage J, Girolami S, Lawton N, Harris R. Does diabetes disease management save money and improve outcomes? Diabetes Care. 2002;25(4):684-9.
6. Guo JJ, Givson JT, Gropper DM, Oswald SL, Barker KN. Empiric investigation on direct costs-of-illness and health care utilization of Medicaid patients with diabetes mellitus. Am J Manag Care. 1998; 4(10):1433-46.
7. Kralewski J, Rich EC, Feldman R, Dowd BE, Bernhardt T, Johnson C, et al. The effects of medical group practice and physician payment methods on costs of care. Health Serv Res. 2000;35(3):591-613.
8. Eisenberg JM. Physician utilization: the state of research about physicians' practice patterns. Med Care. 2002;40(11):1016-35.
9. Kralewski JE, Dowd BE, Xu Y. Differences in the costs of health care provided by medical group practices in Minnesota. Minn Med. 2011;94(2):41-4.
10. Kralewski JE, Dowd BE, Xu Y, Knutson D. The organizational characteristics of best medical group practices. Minneapolis (MN): University of Minnesota; 2011 Feb 28. (Final Report for the Health Care Financing and Organization initiative, Robert Wood Johnson Foundation, Grant No. 065450).
11. Centers for Medicare and Medicaid Services. GEM 2007 measure functional specification document [Internet]. Baltimore (MD): CMS; [cited 2012 Jul 16]. Available from: http://www.cms.gov/GEM/ Downloads/GEMMeasure FunctionalSpecs2007.pdf
12. All of the practices had high rates of eye care for their patients with diabetes, and the variation in these rates was not sufficient to be useful in our analysis. Consequently, this variable was omitted from further analysis.