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Journal of Managed Care Medicine a Peer-Reviewed Publication JMCM Journal of Managed Care Medicine A Peer-Reviewed Publication The Official Journal of the NATIONAL ASSOCIATION OF MANAGED CARE PHYSICIANS AMERICAN ASSOCIATION OF INTEGRATED HEALTHCARE DELIVERY SYSTEMS AMERICAN COLLEGE OF MANAGED CARE MEDICINE AMERICAN ASSOCIATION OF MANAGED CARE NURSES Vol. 9, No. 2 ® Impact of a Web-Based Diabetes Program and Personal Health Record on Diabetes Quality of Care ® Evolving Treatments for Cardiometabolic Syndrome ® Management of Non-ST Segment Elevation Acute Coronary Syndrome: The Managed Care Perspective ® PLUS: Spring Managed Care Forum Program Guide Special Section ® Biotechnology Faces Cost Challenges in Consumer-Driven Healthcare Environment ® Human Genome Project: Implications for Healthcare JMCM Journal of JOURNAL Managed Care Medicine OF MANAGED CARE MEDICINE The Official Journal of the 4435 Waterfront Drive, Suite 101 NATIONAL ASSOCIATION OF MANAGED CARE PHYSICIANS Glen Allen, VA 23060 AMERICAN ASSOCIATION OF INTEGRATED HEALTHCARE DELIVERY SYSTEMS (804) 527-1905 AMERICAN COLLEGE OF MANAGED CARE MEDICINE fax (804) 747-5316 AMERICAN ASSOCIATION OF MANAGED CARE NURSES A Peer-Reviewed Publication Vol. 9, No. 2 EDITOR-IN-CHIEF J. Ronald Hunt, MD PUBLISHER TABLE OF CONTENTS Jack F. Klose ADVERTISING COORDINATOR Publisher’s Desk . 6 Will Williams Impact of a Web-Based Diabetes Program and Personal Health Record JOURNAL MANAGEMENT on Diabetes Quality of Care Douglas Murphy Jay A. Johnson, MD, FACC, and Rahul Singal, MD . 12 Communications Inc. 8730 Stony Point Parkway, Suite 250 Richmond, VA 23235 Evolving Treatments for Cardiometabolic Syndrome (804) 272-9100 Stephen Davis, MD, FRCP . 17 fax (804) 272-1694 MANAGING EDITOR Management of Non-ST Segment Elevation Acute Coronary Syndrome: Virginia Sowers The Managed Care Perspective [email protected] Jay Johnson, MD, FACC . 22 ART DIRECTOR David Balch SPECIAL SECTION: GENOMICS BIOTECH INSTITUTE DESIGN ASSOCIATE Biotechnology Faces Cost Challenges in Consumer-Driven Paul Lacy Healthcare Environment Tom Morrow, MD . 27 ADVERTISING MANAGEMENT Jack F. Klose 804 Broadway Human Genome Project: Implications for Healthcare W. Long Branch, NJ 07764 Eric Green, MD . 31 (732) 229-8845 fax (856) 582-9596 SPRING MANAGED CARE FORUM PROGRAM GUIDE . 34 [email protected] The Journal of Managed Care Medicine is pub- lished by Association Services Inc. Corporate and Circulation offices: 4435 Waterfront Drive, Suite Journal of Managed Care Medicine Instructions for Authors 101, Glen Allen, VA 23060; Tel (804) 527-1905; Fax The Journal of Managed Care Medicine is a peer-reviewed national publication. Original articles (804) 747-5316. Editorial and Production offices: 8730 Stony Point Parkway, Suite 250, Richmond, VA dealing with the business or clinical side of managed care are welcome. Manuscript length gen- 23235; Tel (804) 272-9100; Fax (804) 272-1694. Advertising offices: Jack Klose, 804 Broadway, W. erally should range between 10 to 15 typed pages, including a summary with key points, exhibits, Long Branch, NJ 07764; Tel (732) 229-8845; Fax and references. All submissions should include the following elements: (856) 582-9596. Subscription Rates: one year $95 in the United States; one year $105 in Canada; one • One printed copy of the manuscript, including illustrations/figures/tables year $120 international. Back issues are available • Contact numbers (phone and fax), complete mailing address, and e-mail address for designated for $15 each. All rights reserved. No part of this publication may be reproduced or transmitted in corresponding author any form or by any means, electronic or mechanical, • Electronic version on CD or via e-mail in Microsoft Word including photocopy, recording, or any information storage or retrieval system, without written con- • Bibliography/References, following the format of the AMA Manual of Style, 9th Ed. sent from the publisher. The publisher does not guarantee, either expressly or by implication, the • Brief biography of author(s) < 50 words and including academic/corporate affiliations factual accuracy of the articles and descriptions • Copyright transfer letter herein, nor does the publisher guarantee the accuracy of any views or opinions offered by the authors of said articles or descriptions. For a complete copy of authors’ guidelines, POSTMASTER: Send address changes to THE contact JMCM’s Managing Editor,Virginia Sowers, (804) 272-9100 (ext. 110). JOURNAL OF MANAGED CARE MEDICINE, 4435 Journal of Managed Care Medicine Waterfront Drive, Suite 101, Glen Allen, VA 23060. Forward submissions to 8730 Stony Point Parkway, Suite 250 • Richmond,VA 23235 Journal of Managed Care Medicine Vol. 9, No. 2 5 Publisher’s Desk Keeping Members Up to Date This issue of the JMCM opinions regarding the value of Diabetes Patient Report Card includes the program guide for a patient survey. and the Diabetes Physician Audit our Spring Managed Care In managed healthcare, we all Tool to assist patients with com- Forum, May 4-5 in San Diego at know the importance of preventing pliance and empowerment and to the Lowes Coronado Bay Resort. and detecting disease early. Our help physicians audit the diabetic It promises to be an exciting con- organization has developed a patients in their practices. We ference, as we have great speakers number of tools for patients and offer additional tools for patients and topics lined up for you. and physicians addressing As always, our mission is other diseases. Contact us if to keep you up to date with you are interested in using current information on We have had many new them in your healthcare managed healthcare issues, delivery systems. and also provide you with As you will note in this opportunities to earn con- issues to deal with issue, we now regularly tinuing education credits. devote part of JMCM to the We have had many new in managed healthcare Genomics Biotech Institute issues to deal with in man- via our GBI Reports section. aged healthcare including including Medicare Part D, Genomics and biotechnology Medicare Part D,pay for per- will revolutionize the prac- formance, consumer-driven tice of medicine as we move health plans, and myriad pay for performance, forward in managed health- other concerns that are care. We want you to stay changing the landscape for consumer-driven health informed on these issues. all of us working in managed Finally, we hope that you care. Our spring conference plans, and myriad other receive our weekly Managed addresses these topics and Care eNews and GBI eNews more, as we strive to anticipate to keep you up to date on and respond to issues that concerns that are issues in managed health- affect all healthcare delivery care that address your spe- systems. changing the landscape cific responsibilities as pur- Maintaining a healthy chasers, plans, and providers population and keeping the for all of us working in including CMS, new drug patient at the focal point of therapy, and genomics and healthcare is of paramount biotechnology. importance. We can do a managed care. We exist to be patient better job of asking patients advocates and to help develop about issues they encounter a healthcare delivery system within the healthcare delivery that makes sense for everyone systems. Continuously changing physicians to use to address the involved in the continuum. We rules often leads to patient con- issues of education, empowerment, hope that you enjoy the confer- fusion. Perhaps it’s time for our and compliance. One tool is the ence. And remember to let us managed care associations to Preventive Maintenance Report hear from you regarding your conduct a patient survey to get Card, which helps patients keep interest in a patient survey. direct feedback on their experi- track of the appropriate checkups ences with healthcare delivery. recommended by the U.S. Bill Williams, MD After all, we exist to meet their Preventive Task Force under CMS. 804-527-1905 needs. We’d like to hear your We have also developed the [email protected] 6 Journal of Managed Care Medicine Vol. 9, No. 2 Impact of a Web-Based Diabetes Program and Personal Health Record on Diabetes Quality of Care Jay A. Johnson, MD, FACC, and Rahul Singal, MD Summary Diabetes mellitus is a chronic disease that affects approximately 6.2 percent of the adult U.S. population. Improvement in diabetic, glycemic control, and risk-factor modification has been shown to reduce complications of the disease and can result in reduced healthcare expenditures. The objective of this study was to evaluate the impact of a web-based education program and personal electronic health record (EHR) on glycemic control and risk-factor modification in patients with diabetes in a large employer group. Patients with the diagnosis of diabetes mellitus were identified and given a $15 incentive to participate. The tools provided feedback on goals for glycemic control (hemoglobin A1C), and risk-factor modification (cholesterol, blood pressure control). Participants’ data (total and LDL-cholesterol, HbA1c, and blood pressure) were imported into the EHR, used in the web-based educational tools, and transmitted electronically to the treating physician. Data were collected at baseline and six months after the program onset. Key Results • After six months, participants had a significant reduction in HbA1C from 8.0 percent to 7.3 percent (p = 0.039), whereas the control group had no change (7.7 percent to 7.7 percent; p = 0.49). • Total cholesterol also fell during study period in the participant group (187 to 171 mg/dl; p = 0.024) but increased in the control group (188 to 198 mg/dl, p = <0.01). • Similar results occurred with LDL-cholesterol. • These data suggest that a web-based diabetes education program with feedback on laboratory data and recommended treatment goals can significantly improve glycemic control and cholesterol measurements in an employee-based population of patients with diabetes. The magnitude of improvement seen would be expected to result in a healthier population and reduced healthcare expenditures. TYPE 2 DIABETES MELLITUS is a serious keep up with evidence-based practice guidelines.6 medical condition with potentially devastating Preventive care and screening practices also lag complications.
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