Why the study?
Does a combined care management and telehealth program reduce mortality and healthcare utilization in high-cost Medicare beneficiaries with congestive heart failure, COPD, or diabetes?
Population
1,767 high-cost Medicare fee-for-service beneficiaries with congestive heart failure, chronic obstructive…
Comparison
The Health Buddy Program, which integrates a… vs Propensity-score matched control group.
Design
Cohort
Follow-up
2 years
Key result
The Health Buddy Program was associated with a 15% lower risk-adjusted all-cause mortality compared to matched controls (HR 0.85; 95% CI 0.74-0.98; P=.03).
Authors
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Associated with lower mortality; leaves open whether telehealth plus care management improves outcomes in high-cost Medicare beneficiaries.
Cohort (n=1,767)
Yes
Does a combined care management and telehealth program reduce mortality and healthcare utilization in high-cost Medicare beneficiaries with congestive heart failure, COPD, or diabetes?
Hazard Ratio: 0.85 (95% CI 0.74–0.98)
p-value: p=.03
A combined care management and telehealth intervention significantly reduced all-cause mortality and inpatient admissions among high-cost Medicare beneficiaries with chronic conditions including heart failure.
Baker et al. (2013) conducted a cohort in Congestive heart failure, chronic obstructive pulmonary disease, or diabetes mellitus (n=1,767). Health Buddy Program vs. Propensity-score matched control group was evaluated on All-cause mortality (HR 0.85, 95% CI 0.74-0.98, p=.03). The Health Buddy Program was associated with a 15% lower risk-adjusted all-cause mortality compared to matched controls (HR 0.85; 95% CI 0.74-0.98; P=.03).