The American journal of managed care
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Early detection of disease enables prompt treatment that can prevent disease progression and costly health outcomes. We report incidence of previously unrecognized disease and investigate the expected effect of early detection and care on health outcomes. ⋯ Early identification and appropriate medical care may delay 34 cases of end-stage kidney disease and prevent diabetes-related complications, 210 cases of diabetes, and 3 cases of late-stage colorectal cancer over 5 years per 1000 cases identified.
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To execute a chronic kidney disease (CKD) intervention to assess feasibility and preliminary outcomes for a health plan. ⋯ This scalable CKD intervention demonstrated feasibility. For advanced CKD, decreased hospitalization and a reduction in several important costs were observed. These preliminary results support the stratification of laboratory data for CKD population health innovation in commercial health plans.
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The founder and president of the Institute for Clinical and Economic Review responds to the commentary on heterogeneity in value assessment.