Chronic Disease Management

The chronic disease management market encompasses consumers with chronic, complex conditions such as chronic kidney disease, diabetes, and heart disease. The challenges faced in this market are often compounded by the need for social services and supports. For provider organizations and health systems managing consumers with chronic conditions, a significant challenge that remains is addressing the rising cost of care for this population. As a result, payers are focusing on reducing the spend by increasing integrated models of care coordination across medical, behavioural, pharmacy, and social support systems. These new market forces are creating strategic opportunities for provider organizations that are serving this population.

Latest Resources

• HealthArc & PatchRx Partner To Boost Medication Adherence In Pain Management
• Remote CBT Programs Effective For Treating High-Impact Chronic Pain
• 15% Of Women & 9% Of Men Report Unfair Treatment Or Disrespect From Health Care Professionals Due To Their Weight
• New Guidance Advises General Pediatricians On Testing For Genetic Neurodevelopmental Disorders
• Navigating Regulator & Payer Silos To Better Serve The Whole Person: A Discussion With James Stewart
• HHS Announces $100 Million Notice Of Funding Opportunity For Targeted Hepatitis C Elimination
• Privately Insured Adults Under Age 65 Newly Diagnosed With Cancer Face Average Out-Of-Pocket Health Care Cost Increase Of $592 Per Month During First Six Months
• Nyxoah Receives FDA Approval For Genio® System, A Wearable Neuromodulation Device To Treat Obstructive Sleep Apnea
• The Smart Home Move
• Florida Seeks To Expand Provider Pool For Medically Fragile Children With Medicaid 1115 Demonstration Home Health Aide Amendment
• Digital Asthma Self-Management Program Significantly Improves Symptom Control In Adults 
• Weight Loss Success May Reverse Within Weeks Of Ending Medication
• Select Medical & Ballad Health Agree To Operate Joint Venture Critical Illness Recovery Hospital
• American Diabetes Association Announces Winners Of The Innovation Challenge To Transform Diabetes Care 
• CMS Proposes New Medicare Ambulatory Specialty Model To Improve Chronic Disease Management 

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Cardiac Risk Factors Are Rising — But Many U.S. Adults Don’t Know They’re At Risk

The proportion of adults in the United States who have one or more of three cardiac risk factors (hypertension, diabetes, and high cholesterol) increased between 2013 and 2023, but many affected people are unaware of their risks, according to a recent study. The lack of awareness was highest among those with hypertension, particularly among younger adults ages 20 to 44. The researchers stated that policy efforts to address these gaps in awareness are needed to… Read

• Medicare & Medicaid Programs; CY 2026 Payment Policies Under The Physician Fee Schedule
• 18.6 Million People Living With Cancer In The United States  
• 1% Of U.S. Children Have Extremely Severe Obesity
• Nearly One-Third Of Adolescents Had Prediabetes In 2023 
• Dario Partners With GreenKey Health On A Value-Based Chronic Condition Management & Sleep Health Platform For Payers Nationwide 

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