Why do Medicaid payers have a hard time with diabetes control (>9% a1c) in particular? HEDIS measure in this example.

I'm tasked with finding solutions towards this measure among many but as part of my process is targeting Medicaid HMO - they're particularly poor nationwide. 40.3 percent vs 21.9 Medicare. Straight from NCQA: https://www.ncqa.org/hedis/measures/hemoglobin-a1c-control-for-patients-with-diabetes/

What challenges are being met towards diabetes control and what in particular causes Medicaid to have such low numbers? I know ppo is still pretty bad but it's almost meeting the measure.

https://ift.tt/CMDcyEo Submitted June 30, 2024 at 11:29PM by johndoe42 https://ift.tt/lbVhcG4