Back to results

Effects of Coordinated Care for Disabled Medicaid Recipients

Primary Purpose

Chronic Conditions Faced by Medicaid Recipients With Disabilities

Status

Completed

Phase

Not Applicable

Locations

United States

Study Type

Interventional

Intervention

Coordinated care

About this trial

This is an interventional prevention trial for Chronic Conditions Faced by Medicaid Recipients With Disabilities focused on measuring All conditions faced by disabled Medicaid recipients

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

Disabled, in fee-for-service Medicaid

Exclusion Criteria:

Under age 18, over age 64

Sites / Locations

Kaiser Permanente

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

No Intervention

Arm Label

Coordinated care

Usual care

Arm Description

Individuals will be passively enrolled in Medicaid managed care. Those who do not opt out of managed care will be provided with care coordination.

The usual care group will remain in fee-for-service Medicaid and receive services normally available through that system.

Outcomes

Primary Outcome Measures

Health care use through Medicaid

Secondary Outcome Measures

Primary and preventive care

Emergency department use

Hospital admissions

Full Information

NCT ID

NCT00940511

First Posted

July 14, 2009

Last Updated

March 14, 2016

Sponsor

MDRC

Collaborators

Center for Health Care Strategies, Robert Wood Johnson Foundation, Colorado Department of Health Care Policy and Financing, Kaiser Permanente

1. Study Identification

Unique Protocol Identification Number

NCT00940511

Brief Title

Effects of Coordinated Care for Disabled Medicaid Recipients

Official Title

Effects of Coordinated Care for Disabled Medicaid Recipients

Study Type

Interventional

2. Study Status

Record Verification Date

March 2016

Overall Recruitment Status

Completed

Study Start Date

August 2009 (undefined)

Primary Completion Date

January 2013 (Actual)

Study Completion Date

January 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title

Principal Investigator

Name of the Sponsor

MDRC

Collaborators

Center for Health Care Strategies, Robert Wood Johnson Foundation, Colorado Department of Health Care Policy and Financing, Kaiser Permanente

4. Oversight

Data Monitoring Committee

5. Study Description

Brief Summary

The purpose of this study is to improve the quality of care for individuals with multiple chronic conditions, health care systems have begun turning to coordinated care. Although coordinated care can refer to many different things, it usually includes activities such as assessing patients' needs, referring them to the right doctors, helping them make and keep appointments, and helping them comply with medical or dietary recommendations. To understand the effects of coordinated care for high-needs Medicaid recipients, MDRC is conducting a randomized trial of a pilot coordinated care program run by Kaiser Permanente for blind and disabled Medicaid recipients in the Denver area.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study

Chronic Conditions Faced by Medicaid Recipients With Disabilities

Keywords

All conditions faced by disabled Medicaid recipients

7. Study Design

Primary Purpose

Prevention

Study Phase

Not Applicable

Interventional Study Model

Single Group Assignment

Masking

None (Open Label)

Allocation

Randomized

Enrollment

2618 (Actual)

8. Arms, Groups, and Interventions

Arm Title

Coordinated care

Arm Type

Experimental

Arm Description

Individuals will be passively enrolled in Medicaid managed care. Those who do not opt out of managed care will be provided with care coordination.

Arm Title

Usual care

Arm Type

No Intervention

Arm Description

The usual care group will remain in fee-for-service Medicaid and receive services normally available through that system.

Intervention Type

Behavioral

Intervention Name(s)

Coordinated care

Primary Outcome Measure Information:

Title

Health care use through Medicaid

Time Frame

Two years

Secondary Outcome Measure Information:

Title

Primary and preventive care

Time Frame

Six months, two years

Title

Emergency department use

Time Frame

Six months, two years

Title

Hospital admissions

Time Frame

Six months, two years

10. Eligibility

Sex

All

Minimum Age & Unit of Time

18 Years

Maximum Age & Unit of Time

65 Years

Accepts Healthy Volunteers

Eligibility Criteria

Inclusion Criteria: Disabled, in fee-for-service Medicaid Exclusion Criteria: Under age 18, over age 64

Overall Study Officials:

First Name & Middle Initial & Last Name & Degree

Charles Michalopoulos, Ph.D.

Organizational Affiliation

MDRC

Official's Role

Principal Investigator

Facility Information:

Facility Name

Kaiser Permanente

City

Jefferson County

State/Province

Colorado

Country

United States

12. IPD Sharing Statement

Plan to Share IPD

Citations:

Citation

Michalopoulos C, Manno MS, Warren A, Somers J. Managing Health Care for Medicaid Recipients with Disabilities: Final Report on the Kaiser Permanente Colorado Coordinated Care Pilot Program. New York: MDRC

Results Reference

result

PubMed Identifier

23557249

Citation

Kim SE, Michalopoulos C, Kwong RM, Warren A, Manno MS. Telephone care management's effectiveness in coordinating care for Medicaid beneficiaries in managed care: a randomized controlled study. Health Serv Res. 2013 Oct;48(5):1730-49. doi: 10.1111/1475-6773.12060. Epub 2013 Apr 5.

Results Reference

result

Learn more about this trial

Effects of Coordinated Care for Disabled Medicaid Recipients

We'll reach out to this number within 24 hrs