Effects of Coordinated Care for Disabled Medicaid Recipients

This study has been completed.
Sponsor:
Collaborators:
Center for Health Care Strategies
Robert Wood Johnson Foundation
Colorado Department of Health Care Policy and Financing
Kaiser Permanente
Information provided by (Responsible Party):
Charles Michalopoulos, MDRC
ClinicalTrials.gov Identifier:
NCT00940511
First received: July 14, 2009
Last updated: February 25, 2014
Last verified: February 2014
  Purpose

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.


Condition Intervention
Chronic Conditions Faced by Medicaid Recipients With Disabilities
Behavioral: Coordinated care

Study Type: Interventional
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

Resource links provided by NLM:


Further study details as provided by MDRC:

Primary Outcome Measures:
  • Health care use through Medicaid [ Time Frame: Two years ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • 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 ]

Enrollment: 2618
Study Start Date: August 2009
Study Completion Date: January 2013
Primary Completion Date: January 2013 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
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.

  Eligibility

Ages Eligible for Study:   18 Years to 65 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Disabled, in fee-for-service Medicaid

Exclusion Criteria:

  • Under age 18, over age 64
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00940511

Locations
United States, Colorado
Kaiser Permanente
Jefferson County, Colorado, United States
Sponsors and Collaborators
MDRC
Center for Health Care Strategies
Robert Wood Johnson Foundation
Colorado Department of Health Care Policy and Financing
Kaiser Permanente
Investigators
Principal Investigator: Charles Michalopoulos, Ph.D. MDRC
  More Information

Additional Information:
No publications provided

Responsible Party: Charles Michalopoulos, Chief Economist, MDRC
ClinicalTrials.gov Identifier: NCT00940511     History of Changes
Other Study ID Numbers: MDRC-CO-02
Study First Received: July 14, 2009
Last Updated: February 25, 2014
Health Authority: United States: Institutional Review Board

Keywords provided by MDRC:
All conditions faced by disabled Medicaid recipients

ClinicalTrials.gov processed this record on April 17, 2014