The Effects of Case Management in a Medicaid Managed Care Plan

NCT ID: NCT00385879

Last Updated: 2006-10-11

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 500 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2006-05-31
• Study Completion Date: 2008-01-31

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.

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.

Conditions

Neoplasms; Heart Diseases; Adrenal Cortex Diseases

Study Design

• Allocation Method: NON_RANDOMIZED
• Intervention Model: CROSSOVER
• Primary Study Purpose: SUPPORTIVE_CARE
• Blinding Strategy: NONE

Interventions

Case management

Intervention Type: BEHAVIORAL

Eligibility Criteria

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

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Metropolitan Jewish Health System

OTHER

Sponsor Role: lead

Principal Investigators

Barbara Paris, MD

Role: PRINCIPAL_INVESTIGATOR

Maimonides Medical Center

Locations

Metropolitan Jewish Health System

Brooklyn, New York, United States

Site Status: RECRUITING

Countries

United States

Central Contacts

Russell E Hilliard, PhD, LCSW

Role: CONTACT

Phone: 718-491-7214

Email: rhilliar@mjhs.org

Eliot Fishman, PhD

Role: CONTACT

Phone: 718-491-7134

Email: efishman@mjhs.org

References

Chattopadhyay A, Bindman AB. The contribution of Medicaid managed care to the increasing undercount of Medicaid beneficiaries in the Current Population Survey. Med Care. 2006 Sep;44(9):822-6. doi: 10.1097/01.mlr.0000218835.78953.53.

Reference Type: RESULT

PMID: 16932133 (View on PubMed)

Other Identifiers

Health Plus at Home

Identifier Type: -

Identifier Source: org_study_id