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Balancing Care Access and Fragmentation for Better Outcomes in Veterans With Diabetes
The authors of a study in the April 2021 issue of The American Journal of Managed Care® discuss the possible reasons behind the link between care fragmentation and hospitalizations in veterans with diabetes, as well as potential opportunities to address disjointed care in the context of the widespread telehealth uptake seen during the COVID-19 pandemic.
In recent years, Congress has taken legislative action to allow veterans to more easily access care in the community that is paid for by the Department of Veterans Affairs, or VA. While this has helped dismantle some barriers to accessing care, it has also raised concerns about care fragmentation, or the extent to which a patient’s health care is spread across multiple providers. An ample body of literature has shown worse care outcomes and higher costs in the presence of care fragmentation, which is thought to arise when the different providers and organizations do not communicate effectively with one another.
On this episode of Managed Care Cast, we’re talking with two coauthors of an Original Research article published in our April 2021 issue. The article, “Ambulatory Care Fragmentation and Hospitalization Among Veterans With Diabetes,” examines the association between the system of one’s usual care provider and their level of care fragmentation with their odds of being hospitalized.
The authors joining us today are Lisa M. Kern MD, MPH, associate professor of medicine and of population health sciences at Weill Cornell Medicine, and Drew Helmer, MD, deputy director of the Center for Innovations in Quality, Effectiveness, and Safety at Michael E. DeBakey VA Medical Center in Houston, as well as senior faculty at Baylor College of Medicine.
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Diabetes Risk Driven by Economic Disparity in Hispanic, Latino Communities
March 28th 2025Hispanic and Latino adults found that while preserving cultural identity may initially benefit health, socioeconomic factors like education level significantly impact diabetes and hypertension rates, highlighting the need for targeted health interventions across diverse subgroups.
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Navigating Sport-Related Neurospine Injuries, Surgery, and Managed Care
February 25th 2025On this episode of Managed Care Cast, we speak with Arthur L. Jenkins III, MD, FACS, CEO of Jenkins NeuroSpine, to explore the intersection of advanced surgical care for sport-related neurospine injuries and managed care systems.
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Varied Access: The Pharmacogenetic Testing Coverage Divide
February 18th 2025On this episode of Managed Care Cast, we speak with the author of a study published in the February 2025 issue of The American Journal of Managed Care® to uncover significant differences in coverage decisions for pharmacogenetic tests across major US health insurers.
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