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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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Differences in Physical Functioning as Measured by the SF-36® PCS Among Elderly Medicare+Choice (M+C) Enrollees with IHD and CHF Reporting Compared to All M+C Enrollees: 1998Enrollees reporting IHD have lower scores on the SF-36® PCS score or worse functional status than the overall M+C enrollee population.Enrollees with CHF have lower scores on the SF-36® PCS score than individuals reporting IHD.Females with IHD and CHF have lower scores on the SF-36® PCS score than the males.Females reporting CHF have a mean SF-36® PCS score of 32, one standard deviation below that of the overall M+C enrollee population.
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f8-hcfr-25-4-105: Differences in Physical Functioning as Measured by the SF-36® PCS Among Elderly Medicare+Choice (M+C) Enrollees with IHD and CHF Reporting Compared to All M+C Enrollees: 1998Enrollees reporting IHD have lower scores on the SF-36® PCS score or worse functional status than the overall M+C enrollee population.Enrollees with CHF have lower scores on the SF-36® PCS score than individuals reporting IHD.Females with IHD and CHF have lower scores on the SF-36® PCS score than the males.Females reporting CHF have a mean SF-36® PCS score of 32, one standard deviation below that of the overall M+C enrollee population.


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

Bierman AS - Health Care Financ Rev (2004)

Differences in Physical Functioning as Measured by the SF-36® PCS Among Elderly Medicare+Choice (M+C) Enrollees with IHD and CHF Reporting Compared to All M+C Enrollees: 1998Enrollees reporting IHD have lower scores on the SF-36® PCS score or worse functional status than the overall M+C enrollee population.Enrollees with CHF have lower scores on the SF-36® PCS score than individuals reporting IHD.Females with IHD and CHF have lower scores on the SF-36® PCS score than the males.Females reporting CHF have a mean SF-36® PCS score of 32, one standard deviation below that of the overall M+C enrollee population.
© Copyright Policy
Related In: Results  -  Collection

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

f8-hcfr-25-4-105: Differences in Physical Functioning as Measured by the SF-36® PCS Among Elderly Medicare+Choice (M+C) Enrollees with IHD and CHF Reporting Compared to All M+C Enrollees: 1998Enrollees reporting IHD have lower scores on the SF-36® PCS score or worse functional status than the overall M+C enrollee population.Enrollees with CHF have lower scores on the SF-36® PCS score than individuals reporting IHD.Females with IHD and CHF have lower scores on the SF-36® PCS score than the males.Females reporting CHF have a mean SF-36® PCS score of 32, one standard deviation below that of the overall M+C enrollee population.

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