Quality of Diabetes Care Declines as Health System Grows More Fragmented

In a series of articles in the July issue of the health policy journal Health Affairs, researchers evaluated diabetes care in the United States through several lenses, including care management, prevention, interventions, health equity, quality measures and value-based payment design. Several of them also spoke at a July 19 policy briefing in which a key message was that the fragmented U.S. health system is contributing to a plateau in improving diabetes care — and value-based diabetes payment programs may be causing still more fragmentation.

Despite remarkable advances in clinical understanding and treatments for diabetes, the U.S. has stagnated over the past decade in preventing and managing the condition, said Mohammed Ali, a professor in the Hubert Department of Global Health at Emory University. Ali served as the theme advisor for Health Affairs’ diabetes-focused issue and also was a co-author of the issue’s overview article, “Diabetes And The Fragmented State Of US Health Care And Policy.”

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Jill Brown Kettler

Jill Brown Kettler Executive Editor

Jill oversees AIS Health’s publications and manages the health editorial staff. She joined AIS Health in 1999, and brings unique skills and energy to the company, along with an intelligent perspective on the forces reshaping the health care industry. She holds a graduate degree in health finance and management from Johns Hopkins University School of Public Health, and was formerly a consultant with Arthur Andersen, where she worked with managed care plans, hospitals and medical groups on financial issues impacting their operations.

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