multiple chronic conditions
In MMWR, Brian Ward and Lindsey Black of the National Center for Health Statistics report that 25.7% of US adults have been diagnosed with multiple chronic conditions (MCC). In their analysis of data from the 2014 National Health Interview Survey, they examined rates of diagnoses of arthritis, asthma, cancer, COPD, coronary heart disease, diabetes, hepatitis, hypertension, stroke, or weak/failing kidneys.
It's not surprising that MCC prevalence varied by age; just 7.3% of those aged 18-44 had multiple chronic conditions, compared to 32.1% of those aged 45-64 and 61.6% of those aged 65 and up…
Last week, the Congressional Budget Office released some disappointing news: several demonstration projects aiming to contain growth in healthcare spending are not showing cost savings. Specifically, the Centers for Medicare and Medicaid Services have been focusing on programs involving either disease management and care coordination or value-based payment systems for the fee-for-service Medicare population. A CBO issue brief reviews programs in both these categories that have been conducted over the past two decades, and I'm particularly interested in what it says about the disease…