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Mary Kay Owens - Understanding and Addressing Medicaid Hot Spots Critical for Bending the Cost Curve

Mary Kay Owens - Understanding and Addressing Medicaid Hot Spots Critical for Bending the Cost Curve

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Presentation by Mary Kay Owens at the Partnership to Fight Chronic Disease's May 31st event "Understanding and Addressing “Hot Spots” Critical to Bending the Medicaid Cost Curve."
Presentation by Mary Kay Owens at the Partnership to Fight Chronic Disease's May 31st event "Understanding and Addressing “Hot Spots” Critical to Bending the Medicaid Cost Curve."

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Published by: Partnership to Fight Chronic Disease on Jun 01, 2012
Copyright:Attribution Non-commercial

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06/01/2012

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Understanding and Addressing
“Hot Spots”
Critical Approaches For Bending theMedicaid Cost Curve
Mary Kay Owens, R.Ph., C.Ph.Executive Director, Institute for Healthcare Innovation StrategiesAssociate Professor, University of Florida College of PharmacyNational Alliance for Integrated Medication Management (AIMM) Exec. Board
May 31, 2012PFCD Hill Briefing, Washington, DC
 
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Identifying the Targets:
“Hot Spots” include Patients with
Uncoordinated Care, Lack of
Appropriate Medication Use, and
Unmet Treatment Goals for Chronic
Conditions
 
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State Medicaid Chronic Disease Treatment
Uncoordinated Care
10-30% of pop. & account for 30-50% costs
Low Drug Adherence rates
40-65% for major chronic drug classes
Lack of Treatment for Chronic Conditions
Hundreds of thousands with no drug treatment yetincurred $ hundreds of millions in medical costs forconditions (cholesterol, hypertension, MH)
Clinical Goals Unmet
50-80% of patients are not at clinical goals

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