Results
Title

Evaluation of a Chronic Care Management Model for Improving Efficiency and Fiscal Sustainability.

Authors

Kadree, Margaret A.; Wiggins, Patrick; Thompson, Lura; Warriner, Cynthia; White, Michelle

Abstract

Chronic care management is effective. Barriers to program durability include dependence on the provider–nurse duo to carry out labor-intensive services and the lack of a fiscally sustainable model. Between January and October 2022, an expanded chronic care management team—consisting of a provider, nurse, community health worker, and pharmacist—conducted a four-month intervention in an ambulatory setting. This intervention, using a convenience sample of 134 Medicare patients with uncontrolled type 2 diabetes or hypertension, demonstrated statistically significant improvements in controlling type 2 diabetes (P <.01) and blood pressure (P <.001). Direct provider workload decreased, and the Medicare reimbursement rate was 85.5%. (Am J Public Health. 2025;115(2):133–137. https://doi.org/10.2105/AJPH.2024.307886)

Subjects

CHRONIC disease treatment; COST control; RESEARCH funding; HEALTH insurance reimbursement; DISEASE management; EVALUATION of human services programs; STATISTICAL sampling; MEDICARE; HYPERTENSION; TREATMENT effectiveness; DESCRIPTIVE statistics; CHRONIC diseases; TYPE 2 diabetes; FINANCIAL management; QUALITY assurance; HOSPITAL health promotion programs; HEALTH care teams; MEDICAL care costs

Publication

American Journal of Public Health, 2025, Vol 115, Issue 2, p133

ISSN

0090-0036

Publication type

Academic Journal

DOI

10.2105/AJPH.2024.307886