Pressure Ulcer Treatment Solutions in Sacramento, CA

CDC PLACES vs. JE: two files, not one brochure

Joe Bradley will tell you the same thing he tells his own staff: epidemiology first, then MAC, then SKU. CDC PLACES (2023, crude) estimates 11.2% of adults in Sacramento have diagnosed diabetes — 0.8 points below the U.S. 12% figure. 10% of adults 18–64 here currently lack health insurance (CDC PLACES ACCESS2, 2023). Cash-pay PRP and Medicare CTPs cannot share one consent script. Then we pick pressure ulcer treatment against that mix.

Epidemiology is not a protocol

• CDC PLACES (2023, crude) estimates 11.2% of adults in Sacramento have diagnosed diabetes — 0.8 points below the U.S. 12% figure. Adult obesity in Sacramento is 30% (CDC PLACES 2023). That shows up in wound offloading and in joint-preservation volume — not as a slogan. A CTP without offloading and serial measurements still fails JE review. Product is the last step, not the first.
• Undiagnosed diabetes is 27.6% of U.S. adults who have the disease (CDC). Wound and joint programs in California will see patients who were never labeled diabetic on the referral — screening and offloading still belong in the protocol.
• A city of 500k–1M usually means mixed payer mix: Medicare FFS under JE, Medicare Advantage, workers’ comp, and cash-pay sports medicine. One SKU list rarely serves all four without a utilization policy.

Uninsured mix and Medicare CTPs in the same building

America’s Health Rankings (BRFSS 2024) only publishes state diabetes as a range nationally (Colorado 8.4% to West Virginia 18.4%). For Sacramento we use CDC PLACES instead of interpolating a fake city rate from that range. CDC PLACES (2023, crude) estimates 11.2% of adults in Sacramento have diagnosed diabetes — 0.8 points below the U.S. 12% figure.

Before the first pressure ulcer treatment shipment