Chronic Disease Management

The chronic disease management market encompasses consumers with chronic, complex conditions such as chronic kidney disease, diabetes, and heart disease. The challenges faced in this market are often compounded by the need for social services and supports. For provider organizations and health systems managing consumers with chronic conditions, a significant challenge that remains is addressing the rising cost of care for this population. As a result, payers are focusing on reducing the spend by increasing integrated models of care coordination across medical, behavioural, pharmacy, and social support systems. These new market forces are creating strategic opportunities for provider organizations that are serving this population.

Latest Resources

• Biograph & Caristo Diagnostics Announce First-Of-Its-Kind U.S. Study To Use AI To Detect Presymptomatic Cardiovascular Disease
• Denver Pain Management Clinic Expands Comprehensive Pain Management Services
• Kaia Health & MedImprove Announce Collaboration To Launch Digital Pulmonary Rehabilitation Pilot For Those With COPD
• Globally, Cardiovascular Diseases Were A Leading Cause Of Disability & Death In 2023
• Centauri Health Solutions Launches Member Insights To Support Dual-Eligible Medicare Advantage Members
• Under New Definition Of Obesity, Prevalence In The U.S. Rises From 42.9% Of Adults To 68.8%
• Percentage Of Children With High Blood Pressure Declined 11% Among Those Who Attended A School With Universal Free Lunch
• AI-Supported Health & Lifestyle Coaching Program Can Improve Outcomes For People With Type 2 Diabetes
• In Early 2024, 3.4% Of Adults Had Long COVID
• Sources Of Health Insurance Among Adults With Long COVID: Estimates From The Medical Expenditure Panel Survey, 2024
• Labcorp Launches First FDA-Cleared Blood Test For Alzheimer’s Disease
• Wegovy Approved By FDA For The Treatment Of Adults With Noncirrhotic MASH With Moderate To Advanced Liver Fibrosis
• Innovaccer Acquires Story Health To Pioneer AI Agents That Augment Specialty Care Teams
• Humana & DrFirst Announce Partnership On Innovation To Fill Gaps In Care, Improve Outcomes For Those With Diabetes & Other Chronic Conditions
• Nearly Half Of Diabetes Cases Worldwide Are Undiagnosed

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Medicaid Coverage For Co-Occurring Chronic Pain & Opioid Addiction Varies Widely By State

Co-occurring chronic pain and opioid use disorder (OUD) are associated with a high disease burden for the patient, requiring comprehensive treatment approaches, yet Medicaid benefit structures for evidence-based therapies vary substantially across states, a recent study stated.  As the largest payer for substance use disorder (SUD) treatment and mental health services, Medicaid plays a crucial role in determining treatment access, the study stated. Recent policy reforms have expanded coverage for residential treatment and medications for… Read

• Pair Team Announces Nevada Expansion To Deliver Whole-Person Care For High-Risk Medicaid Members
• Online CBT Improves Mental Health For People With Inflammatory Rheumatic Diseases
• Federal MAHA Commission Unveils Strategy To ‘Make Our Children Healthy Again’
• Charlotte-Area Carolina Neurosurgery & Spine Associates Facility Locations To Join Atrium Health
• More Of The World’s Children Are Now Obese Than Underweight, At 9.4% Compared To 9.2%

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