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Related Experiment Videos

Diabetes in the managed care setting: a prospective plan.

B L Grundel1, G L White, B H Eichold

  • 1Crestview Medical Clinic, Fla, USA.

Southern Medical Journal
|May 26, 1999
PubMed
Summary

Managed care organizations (MCOs) can improve diabetes care by implementing disease management programs. This approach offers cost-effective, preventive care for chronically ill patients.

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Area of Science:

  • Healthcare Management
  • Chronic Disease Management
  • Preventive Medicine

Background:

  • Managed care organizations (MCOs) are increasingly involved in chronic illness care.
  • Primary care providers (PCPs) must adopt cost-effective, preventive strategies.
  • Diabetes management is a key area for implementing such strategies.

Purpose of the Study:

  • To outline a framework for MCOs to establish diabetes disease management programs.
  • To emphasize the importance of preventive care in managing chronic conditions.
  • To guide PCPs in adapting to the managed care environment.

Main Methods:

  • Literature review utilizing MEDLINE database.
  • Foundation based on American Diabetes Association (ADA) Provider Recognition Program guidelines.

Related Experiment Videos

  • Development of a diabetes disease management program model for MCOs.

    • Main Results:

    • Disease management protocols are crucial for cost-effective diabetic care.
    • Computerized management systems enhance efficiency and effectiveness.
    • A team-based approach improves patient outcomes and resource utilization.

    Conclusions:

    • Collaboration with Independent Practice Associations (IPAs), ADA, and MCOs is vital for providers.
    • Standardized protocols and adequate reimbursement are necessary for success.
    • Adapting to managed care models is essential for providers to remain competitive.