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Coexisting illness and heart disease among elderly Medicare managed care enrollees.

Bierman AS - Health Care Financ Rev (2004)

View Article: PubMed Central - PubMed

Affiliation: Faculities of Medicine and Nursing, University of Toronto, and Inner City Health Research Unit, St Michael's Hospital, Toronto, Canada. arlene.bierman@utoronto.ca

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High rates of comorbidity present a challenge in providing care to elderly Medicare managed care enrollees... Comorbidity or the presence of coexisting illness strongly influences utilization, costs, and outcomes of health care... Ischemic heart disease (IHD) and congestive heart failure (CHF) are leading causes of morbidity and mortality among Medicare beneficiaries... Both have been the targets of successful quality improvement initiatives by CMS... Medicare HEDIS has targeted improved management of hypertension and diabetes, as well as smoking cessation, all important risk factors for IHD and CHF... The large sample size of the Medicare Health Outcomes Survey (HOS) affords an unprecedented opportunity to look at the prevalence and patterns of coexisting illness among enrollees with IHD and CHF... Nine out of ten enrollees with these conditions report having three or more chronic conditions, and they report having a mean of five chronic conditions... Females, African-American, Latino, and socioeco-nomically disadvantaged enrollees report a higher burden of coexisting illness... Future efforts should focus on implementing and evaluating models of care for beneficiaries with heart disease that address the coexisting illnesses present in these patients... Opportunities also exist for prevention... Insights from the HOS survey can inform the development of comprehensive models of care.

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Related in: MedlinePlus

Differences in the Percent of Elderly Medicare+Choice (M+C) with IHD and CHF Reporting Low Back Pain Compared to All M+C Enrollees: 1998Arthritis and severe low back pain may place a barrier to complying with recommendations to exercise and are commonly reported by all M+C enrollees. However, they are more often reported by enrollees with CHF and IHD, and more prevalent in females.Roughly one-half of males and two-thirds of females reporting IHD or CHF also report having arthritis (data not shown).One in five enrollees with CHF report having low back pain that interferes with their activities all or most of the time.
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f4-hcfr-25-4-105: Differences in the Percent of Elderly Medicare+Choice (M+C) with IHD and CHF Reporting Low Back Pain Compared to All M+C Enrollees: 1998Arthritis and severe low back pain may place a barrier to complying with recommendations to exercise and are commonly reported by all M+C enrollees. However, they are more often reported by enrollees with CHF and IHD, and more prevalent in females.Roughly one-half of males and two-thirds of females reporting IHD or CHF also report having arthritis (data not shown).One in five enrollees with CHF report having low back pain that interferes with their activities all or most of the time.


Coexisting illness and heart disease among elderly Medicare managed care enrollees.

Bierman AS - Health Care Financ Rev (2004)

Differences in the Percent of Elderly Medicare+Choice (M+C) with IHD and CHF Reporting Low Back Pain Compared to All M+C Enrollees: 1998Arthritis and severe low back pain may place a barrier to complying with recommendations to exercise and are commonly reported by all M+C enrollees. However, they are more often reported by enrollees with CHF and IHD, and more prevalent in females.Roughly one-half of males and two-thirds of females reporting IHD or CHF also report having arthritis (data not shown).One in five enrollees with CHF report having low back pain that interferes with their activities all or most of the time.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4194893&req=5

f4-hcfr-25-4-105: Differences in the Percent of Elderly Medicare+Choice (M+C) with IHD and CHF Reporting Low Back Pain Compared to All M+C Enrollees: 1998Arthritis and severe low back pain may place a barrier to complying with recommendations to exercise and are commonly reported by all M+C enrollees. However, they are more often reported by enrollees with CHF and IHD, and more prevalent in females.Roughly one-half of males and two-thirds of females reporting IHD or CHF also report having arthritis (data not shown).One in five enrollees with CHF report having low back pain that interferes with their activities all or most of the time.

View Article: PubMed Central - PubMed

Affiliation: Faculities of Medicine and Nursing, University of Toronto, and Inner City Health Research Unit, St Michael's Hospital, Toronto, Canada. arlene.bierman@utoronto.ca

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

High rates of comorbidity present a challenge in providing care to elderly Medicare managed care enrollees... Comorbidity or the presence of coexisting illness strongly influences utilization, costs, and outcomes of health care... Ischemic heart disease (IHD) and congestive heart failure (CHF) are leading causes of morbidity and mortality among Medicare beneficiaries... Both have been the targets of successful quality improvement initiatives by CMS... Medicare HEDIS has targeted improved management of hypertension and diabetes, as well as smoking cessation, all important risk factors for IHD and CHF... The large sample size of the Medicare Health Outcomes Survey (HOS) affords an unprecedented opportunity to look at the prevalence and patterns of coexisting illness among enrollees with IHD and CHF... Nine out of ten enrollees with these conditions report having three or more chronic conditions, and they report having a mean of five chronic conditions... Females, African-American, Latino, and socioeco-nomically disadvantaged enrollees report a higher burden of coexisting illness... Future efforts should focus on implementing and evaluating models of care for beneficiaries with heart disease that address the coexisting illnesses present in these patients... Opportunities also exist for prevention... Insights from the HOS survey can inform the development of comprehensive models of care.

Show MeSH
Related in: MedlinePlus