Effects of Coordinated Care for Disabled Medicaid Recipients
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.
Chronic Conditions Faced by Medicaid Recipients With Disabilities
Behavioral: Coordinated care
|Study Design:||Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Prevention
|Official Title:||Effects of Coordinated Care for Disabled Medicaid Recipients|
- Health care use through Medicaid [ Time Frame: Two years ] [ Designated as safety issue: No ]
- Primary and preventive care [ Time Frame: Six months, two years ] [ Designated as safety issue: No ]
- Emergency department use [ Time Frame: Six months, two years ] [ Designated as safety issue: No ]
- Hospital admissions [ Time Frame: Six months, two years ] [ Designated as safety issue: No ]
|Study Start Date:||August 2009|
|Estimated Study Completion Date:||August 2012|
|Estimated Primary Completion Date:||August 2012 (Final data collection date for primary outcome measure)|
Experimental: Coordinated care
Individuals will be passively enrolled in Medicaid managed care. Those who do not opt out of managed care will be provided with care coordination.
|Behavioral: Coordinated care|
No Intervention: Usual care
The usual care group will remain in fee-for-service Medicaid and receive services normally available through that system.
|United States, Colorado|
|Jefferson County, Colorado, United States|
|Principal Investigator:||Charles Michalopoulos, Ph.D.||MDRC|