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

• CalRx Drives Down The Cost Of Naloxone As State Program Reverses Nearly 400,000 Overdoses
• Sleep Health Scores Differ Across U.S. Population Groups
• Dual Eligible Adults With Autism Differ From The Overall Dual Eligible Population
• Story Health Partners With Allina Health Minneapolis Heart Institute To Launch Virtual Heart Failure Management Program
• Episcopal Health Services Launches ‘Food As Medicine’ Pilot Program In Partnership With Campaign Against Hunger
• Adults With A Primary Care Physician More Likely To Receive Preventive Screenings & Have Lower Acute Care Use
• Older Adults Whose Loneliness Exceeds Their Social Isolation Have 13% Higher Mortality Risk & 16% Higher Heart Disease Risk
• Up To 55% Of French Adults With Chronic Conditions Prefer Remote Care; Up To 51% Would Switch For Earlier Appointments
• Elara Caring Secures Strategic Investment From Ares Private Equity Group and DaVita To Develop Kidney-Specific Home Care
• Carrum Health & Lyra Health Launch Integrated Specialty Care and Mental Health Solution
• Youth With Autism, Intellectual Disability, Or Cerebral Palsy Experienced Higher Mortality From A Range Of Causes Than The General Youth Population
• Traumatic Brain Injury Linked To Higher All-Cause Mortality, Driven By Dementia-Related Deaths
• U.S. Adult Obesity Prevalence Projected To Reach 46.9% By 2035
• Nearly 58% Of Commercially Insured Individuals Had Chronic Conditions In 2024
• Chronic Health Conditions Increasing Among Younger Workforce Populations

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13.6 Million People Were Dual Eligibles For At Least One Month In 2022

There were 13.6 million people who were fully or partially dually eligible for Medicare and Medicaid for at least one month in 2022, according to a recent report conducted by two independent congressional agencies, the Medicare Payment Advisory Commission and the Medicaid and CHIP Payment and Access Commission. Combined state and federal spending for dual eligibles totaled $548.8 billion in calendar year 2022. Medicare accounted for $351.4 billion (64%). About 38% of dual eligibles were… Read

• ISHI Health Launches Virtual Heart Failure Clinics In California and Arizona
• RWJBarnabas Health Opens New ‘Food Farmacy’ At RWJUH Hamilton
• Cedars-Sinai & Healthcare In Action Work Together To Provide Post-Discharge Care To Those Experiencing Homelessness
• 1 In 4 Adults Worldwide Eligible For GLP-1 Treatment For Obesity
• School-Age Children With Long COVID Have More Functional Limitations, Higher Absenteeism

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