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Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
Value-based insurance plus disease management increased medication use and produced savings
Teresa B Gibson1, John Mahoney, Karlene Ranghell
1Thomson Reuters, Ann Arbor, Michigan, USA. teresa.gibson@thomsonreuters.com
Abstract:
We evaluated the effects of implementing a value-based insurance design program for patients with diabetes in two groups within a single firm. One group participated in disease management; the other did not. We matched members of the two groups to similar enrollees within the company that did not offer the value-based program. We found that participation in both value-based insurance design and disease management resulted in sustained improvement over time. Use of diabetes medications increased 6.5 percent over three years. Adherence to diabetes medical guidelines also increased, producing a return on investment of $1.33 saved for every dollar spent during a three-year follow-up period.
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