By Piali De
This summer marked the 50th anniversary of the passing of the Medicaid and Medicare bills. Both government programs have transformed the delivery of healthcare in this country and have worked to eliminate abject poverty and homelessness. Before Medicare, old age and poverty went hand in hand; people over the age of 65 with healthcare complications were often unable to afford private health care and were forced to either rely on family members for support or go without care.
By Simon Trussler
Historically, clinicians have had very limited visibility into how patients with chronic conditions were doing in home or institutional care settings; they tracked patients’ status mainly during office visits or as a result of acute episodes. Preventive care and education initiatives, together with outbound nurse calling programs, could help reach the at-risk population in between visits, but they lacked the up-to-date patient data required for precise targeting of the most vulnerable population.