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"I love it when patients come in and they bring their list of questions, or they ask me ‘Should I have this test?’ or ‘Why are we doing this?’ That makes the relationship, that makes managing this chronic problem together, a lot better."

‒ Dr. E. Harry Walker
MetroHealth Center for Community Health

Did You Know?

Chronic diseases account for 75% of the United States’ $2 trillion-a-year health care costs.

Checkup Report > Part Two : Better Health's Diabetes Checkup - Regional Results > Overall Achievement by Insurance Categories, 2007

Overall Achievement by Insurance Categories, 2007

Figure 3 highlights the region’s overall achievement on our Summary Outcome Standard and our Summary Process Standard, stratified by insurance category. Included are 23,461 patients of the 30 partner practices at Cleveland Clinic, Kaiser Permanente, and The MetroHealth System. Collectively, 8754 (37%) of the patients had Medicare as their primary insurer, 11,941 (51%) had a commercial insurer, 1317 (6%) were insured by Medicaid, and 1449 (6%) were uninsured. The horizontal lines in the Figure represent the 38% region-wide overall achievement on the Summary Outcome Standard (at left) and the 46% region-wide overall achievement on the Summary Process Standard (at right).

Overall achievement on our Summary Outcome Standard varied considerably across patients in the different insurance categories, while achievement on our Summary Process Standard was much more similar across insurance categories.

Medicare patients fared best on both standards, with about half meeting each of the summary standards. Uninsured patients and those insured by Medicaid were much less likely to achieve our Summary Outcome Standard, while these same patients had average or above average achievement on our Summary Process Standard.

Figure 3. Region-wide Achievement on Better Health’s Summary Standards, by Insurance Category. 2007