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ISSN: 2637-6679

Research and Reviews on Healthcare: Open Access Journal

Mini Review(ISSN: 2637-6679)

Increased A1c Testing among Members of A Large Coordinated Care Organization in Southern California

Volume 1 - Issue 5

June O Leary1, Ning Fu2, Janelle Howe3, Jeremy Rich4 and Glenn Melnick5*

  • Author Information Open or Close
    • 1Independent Contractor/Health Services Researcher Consultant, University of Southern California, USA
    • 2Post-doctoral Fellow, University of Southern California, USA
    • 3Senior Director, Health Enhancement, DaVita HealthCare Partners Medical Group, USA
    • 4Director, HealthCare Partners Institute for Applied Research and Education, USA
    • 5Blue Cross of California Chair in Health Care Finance, University of Southern California, USA

    *Corresponding author: Glenn Melnick, Blue Cross of California Chair in Health Care Finance, Sol Price School of Public Policy, University of Southern California, Gateway 101P, Los Angeles, CA, USA 90089

Received: April 23, 2018;   Published: May 16, 2018

DOI: 10.32474/RRHOAJ.2018.01.000125

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DaVita HealthCare Partners Medical Group (DHCP), a large coordinated care organization, implemented a population health program to expand the number of southern California members who receive an A1C test. The A1C test is used to diagnose prediabetes and diabetes, and to monitor blood glucose control in current diabetic patients. Prediabetes occurs when blood glucose levels are elevated, but not yet high enough to be considered diabetes and it places individuals at higher risk for developing diabetes. Diabetes is a chronic illness and serious complications such as kidney disease, loss of eyesight and amputation can occur when blood glucose is uncontrolled. A1C testing is key not only to the diagnosis and management of diabetes, but also to identification of Prediabetes to allow early intervention to delay or stop the transition to diabetes. This Mini Review reports on DHCP’s successful A1c testing expansion, which led to over 50,000 members on average receiving an A1c test for the first time each year of the 2007-2016 study period.

Keywords: A1C test; Diabetes; Prediabetes; Population health

Abstract| Introduction| Case Study Site, Study Goals and Results| Discussion| References|


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