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.

Study Overview

• Status: Completed
• Conditions: Chronic Conditions Faced by Medicaid Recipients With Disabilities
• Intervention / Treatment: Behavioral: Coordinated care

• Study Type: Interventional
• Enrollment (Actual): 2618
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United States
  • Colorado
    • Jefferson County, Colorado, United States
      • Kaiser Permanente

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 65 years (Adult, Older Adult)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Disabled, in fee-for-service Medicaid

Exclusion Criteria:

• Under age 18, over age 64

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Prevention
• Allocation: Randomized
• Interventional Model: Single Group Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
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.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
Health care use through Medicaid	Two years

Secondary Outcome Measures

Outcome Measure	Time Frame
Primary and preventive care	Six months, two years
Emergency department use	Six months, two years
Hospital admissions	Six months, two years

Collaborators and Investigators

• Sponsor: MDRC
• Collaborators: Kaiser Permanente; Robert Wood Johnson Foundation; Center for Health Care Strategies; Colorado Department of Health Care Policy and Financing
• Investigators: Principal Investigator: Charles Michalopoulos, Ph.D., MDRC

Publications and helpful links

General Publications

• 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
• 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.

Study record dates

Study Major Dates

• Study Start: August 1, 2009
• Primary Completion (Actual): January 1, 2013
• Study Completion (Actual): January 1, 2013

Study Registration Dates

• First Submitted: July 14, 2009
• First Submitted That Met QC Criteria: July 15, 2009
• First Posted (Estimate): July 16, 2009

Study Record Updates

• Last Update Posted (Estimate): March 16, 2016
• Last Update Submitted That Met QC Criteria: March 14, 2016
• Last Verified: March 1, 2016

More Information

Terms related to this study

• Keywords: All conditions faced by disabled Medicaid recipients
• Additional Relevant MeSH Terms: Pathologic Processes; Disease
• Other Study ID Numbers: MDRC-CO-02

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO