Disease Management Fails : Too Much Money?

Again, how many time do we have to address this problem before we understand where the problem come from. anytime someone gives out billions of dollars, there will always be someone to take the money and run.

Obama gave away nearly 850 billion dollars that we didn't have to stimulate the economy and what happened, nothing. They money is spent and the economy that it was suppose to help is as bad or worse then it was four years ago. And disease management fails with all this money dropped on t them? Who so?

Please explain just where and when has billions of free money,with absolutely no oversight, ever done any good? In this case it helped the public sector union members in many states stay afloat until the next election cycle so they could vote for more of the same, but other then that where did it help the country?

Where is the media investigation into all this waste and fraud? Over 6 trillion dollars spent in four years with nothing to show for it. Woha - nothing to see here, good to go.

 Oh wait, here's a really good story, did you see the story on Mad Cow disease and how George Bush six years ago blocked the investigation into this disaster and how he is responsible for the resulting deaths of some many cows - - -? Why it's an outrage!! Why isn't congress doing it's job and investigate this tragedy. That dam Bush!

Disease Management Programs Don't Work
January 15, 2013
Source: Jason Shafrin, "Disease Management Programs Don't Work," Healthcare Economist, January 2, 2013. Matthew S. Conti, "Effect of Medicaid Disease Management Programs on Emergency Admissions and Inpatient Costs," Health Services Research, December 26, 2012.

A major aim of health reform across several states has been to focus on the prevention and management of chronic diseases. In theory, this would lower overall health spending if fewer people developed chronic conditions that force them to take costly medication or undergo costly procedures, says Jason Shafrin, a Ph.D. economist and research associate at Acumen, LLC.

• The American Recovery and Reinvestment Act (ARRA) stimulus package included $2.2 billion for health care cost-effectiveness research that focused on chronic disease prevention and disease management.
• The hope was to address the costs of diseases such as cancer, diabetes, heart disease, obesity and smoking-related illnesses.

However, a new study sheds light on these diseases management programs and finds that they don't work.

• The study looks at diabetic disease management programs implemented in Washington, Texas and Georgia.
• The study controlled for state and year effects, as well as median state income, obesity rate and state Medicaid enrollment to isolate the effect of these disease management programs.
• According to the data, there were no decreases in emergency admissions or inpatient charges.
• As a result, the authors conclude that disease management programs were not effective.