Resolution on Chronic Care Coordination

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WHEREAS, chronic disease is recognized as the leading cause of disability and death in the United States; and accounts for 1.7 million deaths or 70% of all deaths in the U.S. each year; and

WHEREAS, chronic diseases – such as heart disease, stroke, cancer, respiratory diseases and diabetes – are among the most prevalent, costly, and preventable of all health problems; and

WHEREAS, implementing prevention programs around multiple chronic conditions can help states reduce the overall financial burden of chronic illness within public programs such as Medicaid and Medicare, as well as state employees’ health insurance; and

WHEREAS, the inefficient coordination of care for people with chronic conditions has led not only to higher costs, but poorer health outcomes for the most vulnerable populations within states. For example, 8 out of 10 of the top 1 percent of Medicaid utilizers have at least three chronic conditions and 6 out of 10 have five or more chronic conditions. The issue is even more prevalent in the dual eligible population which accounts for 38 percent of Medicaid spending overall and have an average of 4.2 conditions, 5 physicians and 5.6 prescribers; and

WHEREAS, preventing and treating chronic disease is an important public health initiative that will improve the quality of life for state residents affected by these conditions and will reduce Medicaid costs to the states;

NOW, THEREFORE BE IT RESOLVED, that The Council of State Governments encourages states to consider the feasibility of implementing an assessment and review of all chronic disease management programs in states by:

  • Considering the creation of a Chronic Disease Legislative Caucus to identify best practices in chronic care coordination and to make recommendations to the Governor, Legislature, Department of Health and other relevant state agencies in an effort to take steps to reduce the burden of multiple chronic conditions on the state and its residents.
  • Considering the development of a state plan to meet the health care needs of residents with multiple chronic conditions.

Adopted this 3rd Day of December, 2012, at CSG’s 2012 National Conference in Austin, Texas.