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Current Diabetes Reports
Erschienen in: Current Diabetes Reports 4/2017

01.04.2017 | Psychosocial Aspects (S Jaser, Section Editor)

Partnering with Insurers in Caring for the Most Vulnerable Youth with Diabetes: NICH as an Integrator

verfasst von: Samantha A. Barry, Lena Teplitsky, David V. Wagner, Amit Shah, Brian T. Rogers, Michael A. Harris

Erschienen in: Current Diabetes Reports | Ausgabe 4/2017

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Abstract

Purpose of review

In this review, we outline barriers to appropriately caring for high-risk youth with diabetes and discuss efforts in partnering with insurers through Alternative Payment Models to achieve the Triple Aim (improved health, improved care, and reduced costs) for this population.

Recent findings

Current approaches in caring for youth with diabetes who evidence a high degree of social complexity are woefully ineffective. These youth are vulnerable to repeat diabetic ketoacidosis episodes, poor glycemic control, and excessive utilization of healthcare resources. To effectively pursue the Triple Aim, an “integrator” (i.e., an entity that accepts responsibility for all components of the Triple Aim for a specified population) must be identified; however, this does not fit into current fee-for-service models.

Summary

Integrators for youth with diabetes are limited, but early examples of integrator efforts are promising. We present one successful “integrator,” Novel Interventions in Children’s Healthcare (NICH), and detail this program’s efforts in partnering with insurers to serve high-risk youth with diabetes.
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Metadaten
Titel
Partnering with Insurers in Caring for the Most Vulnerable Youth with Diabetes: NICH as an Integrator
verfasst von
Samantha A. Barry
Lena Teplitsky
David V. Wagner
Amit Shah
Brian T. Rogers
Michael A. Harris
Publikationsdatum
01.04.2017
Verlag
Springer US
Erschienen in
Current Diabetes Reports / Ausgabe 4/2017
Print ISSN: 1534-4827
Elektronische ISSN: 1539-0829
DOI
https://doi.org/10.1007/s11892-017-0849-4

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