Studies from Cornell University Have Provided New Information about Managed Care (Data-Driven Clinical and Cost Pathways for Chronic Care Delivery)

By a News Reporter-Staff News Editor at Insurance Weekly News -- Investigators discuss new findings in Managed Care. According to news reporting from New York City, New York, by VerticalNews journalists, research stated, "This study illustrates a systematic methodology to embed medical costs into the exact flow of clinical events associated with chronic care delivery. We summarized and visualized the results using clinical and cost data, with the goal of empowering patients and care providers with actionable information as they navigate through a multitude of clinical events and medical expenses."

The news correspondents obtained a quote from the research from Cornell University, "We analyzed the electronic health records (EHRs) and medication cost data of 288 patients from 2009 to 2011, whose initial diagnoses included chronic kidney disease stage 3, hypertension, and diabetes. We developed chronological pathways of care and costs for each patient from EHR and medication cost data. Using a data-driven method called clinical pathway (CP) learning, which leverages statistical machine-learning algorithms, we categorized patients into clinically similar subgroups based on progressing clinical complexity and associated care needs. The CP-based subgroups were compared against cost-based subgroups stratified by quartiles of total medication costs, and visualized via pathways that are color-coded by costs. Our methods identified 3 CP-based, and 4 cost-based, patient subgroups. Two sets of subgroups from each approach indicated some clinical similarity in terms of average statistics, such as number of diagnoses and medication needs. However, the CP-based subgroups displayed significant variation in costs; conversely, large differences in clinical needs were observed among cost-based subgroups."

According to the news reporters, the research concluded: "This study demonstrates that CPs extracted from EHRs can be enhanced with appropriate cost information to potentially provide detailed visibility into the variability and inconsistencies in current best practices for chronic care delivery."

For more information on this research see: Data-Driven Clinical and Cost Pathways for Chronic Care Delivery. American Journal of Managed Care, 2016;22(12):816-820. American Journal of Managed Care can be contacted at: Managed Care & Healthcare Communications Llc, 666 Plainsboro Rd, Ste 300, Plainsboro, NJ 08536, USA.

Our news journalists report that additional information may be obtained by contacting Y.Y. Zhang, Weill Cornell Med Cornell Univ, Dept. of Healthcare Policy & Res, Div Hlth Informat, New York, NY 10065, United States.

Keywords for this news article include: New York City, New York, United States, North and Central America, Managed Care, Cornell University.

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