image

FIGURE 6-1 Total cost of health care service use (Medicaid Heart Failure Program).

SOURCE: Reprinted with permission from William K. Appelgate (2012).

image

FIGURE 6-2 Medicaid diabetes telehomecare project, preliminary cost data 2010-2012.

SOURCE: Reprinted with permission from William K. Appelgate (2012).

ICCC is in the process of evaluating a current project on health and wellness behavior change in the pre-Medicare population (farmers between the ages of 58 and 63). This intervention included health risk assessments; patient education; diet and exercise incentives; and coaching. The intervention resulted in reduced risk, improved health status, and zero trending.

Many lessons can be learned from experiences with these telehome care models. First, most health care takes place within the home; therefore, to dramatically change health care, the home is the ideal point of delivery. Second, engaging individuals in the self-management of their health is a pri-



The National Academies | 500 Fifth St. N.W. | Washington, D.C. 20001
Copyright © National Academy of Sciences. All rights reserved.
Terms of Use and Privacy Statement