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Home / News & IndustryManaged Care Insight and Analysis
Updated: Feb. 24, 2009
Health Of Medicare And Medicaid Recipients In Florida Improves

Medicare recipients participating in a large-scale disease management program in south Florida have experienced improvements in managing serious conditions like diabetes and congestive heart failure (CHF), according to research by LifeMasters Supported Self Care Inc.

LifeMasters is working with the Centers for Medicare and Medicaid Services (CMS) on a demonstration project in multiple counties designed to measure the effectiveness of a disease management program in a Medicare fee-for-service population. The program is available to beneficiaries who are eligible for both Medicare and Medicaid and who have CHF or any combination of CHF, diabetes and coronary heart disease.

Results show that the number of individuals actively participating in the program has steadily increased as new recruitment strategies have been incorporated. This increase in participation has led to greater health improvements the longer these individuals remain in the program, LifeMasters said.

The goal is to ultimately reduce the number of hospitalizations and overall healthcare costs.

LifeMasters nurses work with participants over the phone and in their homes to help manage their conditions. They may check vitals, review medication dosages, or help the participant track weight and glucose levels – critical information that will be shared with the participant’s physician. The nurses also have the training to identify those individuals who have difficulty fulfilling basic needs such as food, shelter, or safety and connect them with community resources, the company said.

LifeMasters received an extension from CMS of the demonstration project. Medicare determines eligibility and who may participate in the program using a randomized control design. The program is provided in Miami-Dade, Broward, Palm Beach, Marion, Volusia, Seminole and Alachua for those beneficiaries who are eligible to participate and is offered as part of the beneficiaries’ existing healthcare coverage at no additional cost, LifeMasters said.

Address: LifeMasters Supported Self Care Inc., 15635Alton Parkway, Suite 400, Irvine, CA 92618; (949) 789-6500,

  This article was taken from:
The Executive Report on Managed Care

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