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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) Enrollees with IHD and CHF Reporting Sensory Impairment Compared to All M+C Enrollees: 1998Difficulty hearing or hearing impairment, and difficulty seeing or visual impairment are more prevalent among enrollees with IHD and CHF and report these conditions more than the overall M+C enrollee population.Hearing impairment is more prevalent in males than females, and visual impairment is more prevalent in females than males.One in five males with CHF also report hearing impairment, and one in seven females with CHF also report visual impairment.
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getmorefigures.php?uid=PMC4194893&req=5

f7-hcfr-25-4-105: Differences in the Percent of Elderly Medicare+Choice (M+C) Enrollees with IHD and CHF Reporting Sensory Impairment Compared to All M+C Enrollees: 1998Difficulty hearing or hearing impairment, and difficulty seeing or visual impairment are more prevalent among enrollees with IHD and CHF and report these conditions more than the overall M+C enrollee population.Hearing impairment is more prevalent in males than females, and visual impairment is more prevalent in females than males.One in five males with CHF also report hearing impairment, and one in seven females with CHF also report visual impairment.


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) Enrollees with IHD and CHF Reporting Sensory Impairment Compared to All M+C Enrollees: 1998Difficulty hearing or hearing impairment, and difficulty seeing or visual impairment are more prevalent among enrollees with IHD and CHF and report these conditions more than the overall M+C enrollee population.Hearing impairment is more prevalent in males than females, and visual impairment is more prevalent in females than males.One in five males with CHF also report hearing impairment, and one in seven females with CHF also report visual impairment.
© Copyright Policy
Related In: Results  -  Collection

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

f7-hcfr-25-4-105: Differences in the Percent of Elderly Medicare+Choice (M+C) Enrollees with IHD and CHF Reporting Sensory Impairment Compared to All M+C Enrollees: 1998Difficulty hearing or hearing impairment, and difficulty seeing or visual impairment are more prevalent among enrollees with IHD and CHF and report these conditions more than the overall M+C enrollee population.Hearing impairment is more prevalent in males than females, and visual impairment is more prevalent in females than males.One in five males with CHF also report hearing impairment, and one in seven females with CHF also report visual impairment.

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