OVHAOffice of Vermont Health Access
OVHAOrissa Voluntary Health Association (Orissa, India)
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Data for this study were supplied by the OVHA, which granted the authors access to six distinct data sets linkable using unique member and claim identifiers: (1) professional claims (e.g., emergency room, office visits, and other outpatient services); (2) institutional claims (e.g., hospital and nursing home utilization); (3) pharmacy claims; (4) eligibility data (e.g., demographic information, dates of eligibility, eligibility category, and type of coverage); (5) third party insurance coverage data; and (6) provider data.
We appreciate the encouragement for this research provided by the OVHA and we particularly wish to thank Mary Day for her expertise and support in using the claims and eligibility data and for creating the ACG-PM[TM] output dataset for this study.
The research in this article was supported by the Office of Vermont Health Access (OVHA) under Contract Number 10733.
The OVHA's Care Coordination Program (CCP), in conjunction with the Chronic Care Management Program (CCMP), exemplifies the Chronic Care Model in action.
The OVHA CCP staff focus on the individual's hierarchy of needs and psycho-social indicators of health in addition to the chronic health condition to improve and sustain health.
To emphasize the importance of developing a joint plan of care with the primary care provider, the OVHA is reimbursing PCPs $55 for meeting with Care Coordination teams to develop the plan of care when one of their patients is enrolled in the intensive case management program.