Obviously the City of Asheville was quite pleased with the initial results of reducing hemoglobin A1C readings of their diabetic patients. Shortly after, they began to experience the financial implications of their efforts as overall medical costs associated with these high risk members reduced by 35% in the first year alone.
Below is a graph of actual published data regarding the medical claims of the City of Asheville for the first 5 years of the programs implementation. These figures were initially published in the Journal of American Pharmacy based upon the research performed by Dr. Barry Bunting and Dr. Carole Cranor.
As you will notice, prescription drug expenses actually increased under the program as members were given access to certain free medications to ensure their prescription drug compliance, but as compliance went up, large dollar medical claims began to shrink dramatically.