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The Effects of Case Management in a Medicaid Managed Care Plan

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00385879
Recruitment Status : Unknown
Verified October 2006 by Metropolitan Jewish Health System.
Recruitment status was:  Recruiting
First Posted : October 11, 2006
Last Update Posted : October 11, 2006
Information provided by:
Metropolitan Jewish Health System

Brief Summary:
The purpose of this study is to evaluate whether or not case management by a social worker and nurse can decrease the number of emergency room visits, increase the number of primary care doctor visits, and increase quality of life of people in a Medicaid managed care plan.

Condition or disease Intervention/treatment Phase
Neoplasms Heart Diseases Adrenal Cortex Diseases Behavioral: Case management Not Applicable

Detailed Description:
This study will assign participants based on Zip Code to one of two conditions: control and experimental. In the control group, participants will receive telephonic assessments at baseline, three months, and six months. These assessments will be conducted by a member of the Medical Center’s Department of Geriatrics under the supervision of the Principal Investigator. Participants in the experimental group will receive medical case management provided by a nurse and social worker in the homecare setting including an in-home assessment. Assessments will be conducted at baseline, three months, and six months during routine homecare visits. Dependent variables being measured include: access to primary care physicians, emergent hospitalizations/admissions, articulation of advance directives, and quality of life. Data will be collected through the participants’ medical claims and records to analyze the number of emergent hospitalizations/admissions, documentation of advance directives, and number of visits to primary care physicians. To measure participants’ quality of life, the Depression Self-Rating Scale and the Clinical Anxiety Scale will be utilized. Data will be compared between and within the groups via statistical analyses. The researcher will conduct pre-post comparisons of utilization and other database-derived outcomes for both groups, comparing the 12 months prior to and up to 20 months following enrollment.

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Study Type : Interventional  (Clinical Trial)
Enrollment : 500 participants
Allocation: Non-Randomized
Intervention Model: Crossover Assignment
Masking: None (Open Label)
Primary Purpose: Supportive Care
Official Title: The Effects of Case Management in a Medicaid Managed Care Plan
Study Start Date : May 2006
Study Completion Date : January 2008

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Medicaid

Primary Outcome Measures :
  1. The outcome measure for the number of emergency room visits will be calculated from the medical record counting the number of hospital emergency room visits; for access to primary physicians, the medical record will be reviewed as well.

Secondary Outcome Measures :
  1. The outcomes for quality of life will be evaluated from the McGill Quality of Life Questionnaire.

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • participation in a Medicaid managed care plan
  • resident of identified zip codes in Brooklyn, NY
  • frequent hospitalizations and low frequency of primary doctor visits

Exclusion Criteria:

  • residents outside the catchment area
  • patients not being managed in a Medicaid managed care plan

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00385879

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Contact: Russell E Hilliard, PhD, LCSW 718-491-7214
Contact: Eliot Fishman, PhD 718-491-7134

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United States, New York
Metropolitan Jewish Health System Recruiting
Brooklyn, New York, United States, 11220
Sub-Investigator: Eliot Fishman, PhD         
Sponsors and Collaborators
Metropolitan Jewish Health System
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Principal Investigator: Barbara Paris, MD Maimonides Medical Center

Publications of Results:
Layout table for additonal information Identifier: NCT00385879    
Other Study ID Numbers: Health Plus at Home
First Posted: October 11, 2006    Key Record Dates
Last Update Posted: October 11, 2006
Last Verified: October 2006
Additional relevant MeSH terms:
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Heart Diseases
Adrenal Cortex Diseases
Cardiovascular Diseases
Adrenal Gland Diseases
Endocrine System Diseases