Adults aged 18 to 49 hospitalized for a first cryptogenic ischemic stroke (CIS)—a stroke with an unknown cause—reported higher levels of self-perceived stress than a control group that had not experienced a stroke. Stress levels for both groups were assessed using the Perceived Stress Scale (PSS). For both groups, higher perceived stress was associated with a 4% higher risk of having had CIS.

About 46.2% of those who had experienced CIS and 33.3% of the control group had PSS scores indicating moderate or higher levels of stress. Those who had moderate scores on the PSS . . .

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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.


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