Your browser doesn't support javascript.
Managed care COVID-19 outcomes in a population health program.
Aguilar, Richard B; Hardigan, Patrick; Mayi, Bindu S; Tarchini, Giorgio; Sider, Darby; McGoohan, John; Osorio, Merlin; Hernandez, Marlow B.
  • Hernandez MB; Cano Health, 9725 NW 117 Ave, Suite 200, Miami, FL 33178. Email: mhernandez@canohealth.com.
Am J Manag Care ; 27(6): 234-240, 2021 06.
Article in English | MEDLINE | ID: covidwho-1289744
ABSTRACT

OBJECTIVES:

To determine (1) factors linked to hospitalizations among managed care patients (MCPs), (2) outcome improvement with use of outpatient off-label treatment, and (3) outcome comparison between MCPs and a mirror group. STUDY

DESIGN:

Retrospective cohort study comparing MCPs with an age- and gender-matched mirror group in Florida from April 1, 2020, to May 31, 2020.

METHODS:

A total of 38,193 MCPs in a Florida primary care group were monitored for COVID-19 incidence, hospitalization, and mortality. The highest-risk patients were managed by the medical group's COVID-19 Task Force. As part of a population health program, the COVID-19 Task Force contacted patients, conducted medical encounters, and tracked data including comorbidities and medical outcomes. The MCPs enrolled in the medical group were compared with a mirror group from the state of Florida.

RESULTS:

The mean (SD) age among the MCPs was 67.9 (15.2) years, and 60% were female. Older age and hypertension were the most important factors in predicting COVID-19. Obesity, chronic kidney disease (CKD), and congestive heart failure (CHF) were linked to higher rates of hospitalizations. Patients prescribed off-label outpatient medications had 73% lower likelihood of hospitalization (P < .05). Compared with the mirror group, MCPs had 60% lower COVID-19 mortality (P < .05).

CONCLUSIONS:

MCPs have risk factors similar to the general population for COVID-19 incidence and progression, including older age, hypertension, obesity, CHF, and CKD. Outpatient treatment with off-label medicines decreased hospitalizations. A comprehensive population health program decreased COVID-19 mortality.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Managed Care Programs / COVID-19 Type of study: Cohort study / Observational study / Prognostic study Limits: Aged / Female / Humans / Male Country/Region as subject: North America Language: English Journal: Am J Manag Care Journal subject: Health Services Year: 2021 Document Type: Article

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Main subject: Pneumonia, Viral / Managed Care Programs / COVID-19 Type of study: Cohort study / Observational study / Prognostic study Limits: Aged / Female / Humans / Male Country/Region as subject: North America Language: English Journal: Am J Manag Care Journal subject: Health Services Year: 2021 Document Type: Article