Home / Letter From The Editor / Letter from the Editor, #769

Letter from the Editor, #769

Feb 20, 2015

No matter how you want to analyze it there is an impeding explosion in diabetes care and also in how much it will cost. Part of this is addressed by paying clinicians to deliver patient interactions via the internet. Although early studies seem to show an improvement in the care these patients get, as more patients are seen this way it will be harder to see them as often as necessary, and to continue improving their care.

Part of the problem that exists for these patients is the way we currently care for them. We have them do labs and then they come in for an office visit and we encourage them to improve food and physical activity choices and/or prescribe new medications and then send them away for another extended period. There has not been any easy way to see if they are persistent with our recommendations or medicine choices.

Now Cigna-HealthSpring has partnered with Telcare to further expand health care services for its Texas Medicaid STAR+PLUS membership. Telcare will deliver remote monitoring and engagement services for select diabetic beneficiaries enrolled with Cigna-HealthSpring under the Texas Medicaid STAR+PLUS Program. This means that if a patient is assigned to monitor glucose three times a day and react accordingly, the clinician will have instant feedback as to the patient’s adherence and it will make it easier for the medical professional to interact with the patient in a more timely fashion.

One in three Texans have diabetes and they cost the state more than $12.5 billion a year. The number of adult Texans with diabetes is expected to quadruple over the next three decades to nearly 8 million and making patients more responsible for their care is one way to decrease costs.

If you are not in Texas and you want to help your patients with diabetes then you may want to consider starting them on blood pressure medications even if they don’t have hypertension. To find out why, read this week’s Item #1.  



TCOYD Health Fair Conference, Santa Clara Convention Center, Santa Clara, California, Saturday, March 7, 2015
With a day packed full of education, motivational tools, one-on-one sessions, and workshops, the TCOYD health fair is a great way to get your patients to take better care of their health and themselves. TCOYD.com 

dLifeTV.com: Sunday, February 22, 7PM ET

From dLife.com: "dLife’s Benno Schmidt reports on the controversial topic of medical alert tattoos, and gets inked himself. Plus, a look at how diabetes may impact memory, and how to keep yours sharp; and a low carb chocolate treat from the dLife kitchen." Sundays live online at dLifeTV.com at 7 PM ET, 6 PM CT, and 4 PM PT. Keep up on the latest dLife news at dLifeTV.com

We can make a difference!


Dave Joffe, Editor-in-chief