15-site randomized trial of coordinated care in Medicare FFS

Randall Brown, Deborah Peikes, Arnold Chen, Jennifer Schore, Randall Brown, Deborah Peikes, Arnold Chen, Jennifer Schore

Abstract

Medicare beneficiaries in fee-for-service (FFS) who had chronic illnesses and volunteered to participate in 15 care coordination programs were randomized to treatment or control status. Nurses provided patient education (mostly by telephone) to improve adherence and ability to communicate with physicians. Patients were contacted an average of two times per month. The findings after 2 years are not encouraging. Few programs improved patient behaviors, health, or quality of care. The treatment group had significantly fewer hospitalizations in only one program; no program reduced gross or net expenditures. However, effects may be observed when 4 years of followup are available and sample sizes increase.

Figures

Figure 1. Treatment-Control Differences on Quality of…
Figure 1. Treatment-Control Differences on Quality of Care Among First Year Enrollees in the Medicare Coordinated Care Demonstration

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Source: PubMed

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