Trial Outcomes & Findings for Impact of Medicaid Health Home on Patients With Diabetes in New York City (NCT NCT02713321)
NCT ID: NCT02713321
Last Updated: 2025-07-04
Results Overview
Proportion of hospitalizations related to diabetes that could have been prevented. Diabetes-related potentially preventable hospitalizations are admissions to a hospital for certain acute illnesses or worsening chronic conditions that might not have required hospitalization had these conditions been managed successfully by primary care providers in outpatient settings.
COMPLETED
96759 participants
Baseline and 12 months
2025-07-04
Participant Flow
Patients with clinical diabetes were identified from the INSIGHT Clinical Research Network electronic health record (EHR) data from 6 large academic NYC healthcare systems from 2010-2017.
Participant milestones
| Measure |
Health Home Patients
The cohort is made up of patients with type 2 diabetes, insured by Medicaid, and eligible for participation in a Medicaid Health Home (either due to HIV infection, serious mental illness, or multiple chronic conditions). This group included patients who participated in the Health Home program.
|
Non-Health Home Patients
This group included patients who did participate in the Health Home program, but had type 2 diabetes, were insured by Medicaid, and met eligibility requirements for the Health Homes.
|
|---|---|---|
|
Before Matching/Weighting
STARTED
|
11969
|
84790
|
|
Before Matching/Weighting
COMPLETED
|
11646
|
73973
|
|
Before Matching/Weighting
NOT COMPLETED
|
323
|
10817
|
|
After Matching/Weighting ****
STARTED
|
11646
|
73973
|
|
After Matching/Weighting ****
COMPLETED
|
11646
|
26601
|
|
After Matching/Weighting ****
NOT COMPLETED
|
0
|
47372
|
Reasons for withdrawal
Withdrawal data not reported
Baseline Characteristics
Impact of Medicaid Health Home on Patients With Diabetes in New York City
Baseline characteristics by cohort
| Measure |
Health Home Patients
n=11646 Participants
The cohort is made up of patients with type 2 diabetes, insured by Medicaid, and eligible for participation in a Medicaid Health Home (either due to HIV infection, serious mental illness, or multiple chronic conditions). This group included patients who participated in the Health Home program.
|
Non-Health Home Patients
n=26601 Participants
This group included patients who did participate in the Health Home program, but had type 2 diabetes, were insured by Medicaid, and met eligibility requirements for the Health Homes.
|
Total
n=38247 Participants
Total of all reporting groups
|
|---|---|---|---|
|
Age, Customized
15-44 years
|
1986 Participants
n=5 Participants
|
4535 Participants
n=7 Participants
|
6521 Participants
n=5 Participants
|
|
Age, Customized
45-64 years
|
7287 Participants
n=5 Participants
|
16644 Participants
n=7 Participants
|
23931 Participants
n=5 Participants
|
|
Age, Customized
65+ years
|
2383 Participants
n=5 Participants
|
5443 Participants
n=7 Participants
|
7826 Participants
n=5 Participants
|
|
Sex: Female, Male
Female
|
6999 Participants
n=5 Participants
|
15987 Participants
n=7 Participants
|
22986 Participants
n=5 Participants
|
|
Sex: Female, Male
Male
|
4647 Participants
n=5 Participants
|
10614 Participants
n=7 Participants
|
15261 Participants
n=5 Participants
|
|
Race/Ethnicity, Customized
Hispanic
|
5674 Participants
n=5 Participants
|
12960 Participants
n=7 Participants
|
18634 Participants
n=5 Participants
|
|
Race/Ethnicity, Customized
Non-Hispanic Black
|
3488 Participants
n=5 Participants
|
7967 Participants
n=7 Participants
|
11455 Participants
n=5 Participants
|
|
Race/Ethnicity, Customized
Non-Hispanic White
|
1228 Participants
n=5 Participants
|
2804 Participants
n=7 Participants
|
4032 Participants
n=5 Participants
|
|
Race/Ethnicity, Customized
Other/unknown
|
1266 Participants
n=5 Participants
|
2892 Participants
n=7 Participants
|
4158 Participants
n=5 Participants
|
|
Medicare
|
3841 Participants
n=5 Participants
|
8773 Participants
n=7 Participants
|
12614 Participants
n=5 Participants
|
|
SSI due to disability
|
5720 Participants
n=5 Participants
|
13066 Participants
n=7 Participants
|
18786 Participants
n=5 Participants
|
|
SSI due to age
|
2344 Participants
n=5 Participants
|
5355 Participants
n=7 Participants
|
7699 Participants
n=5 Participants
|
|
Serious mental illness diagnosis
|
6254 Participants
n=5 Participants
|
14285 Participants
n=7 Participants
|
20539 Participants
n=5 Participants
|
|
Alcohol or substance use disorder diagnosis
|
3136 Participants
n=5 Participants
|
7164 Participants
n=7 Participants
|
10300 Participants
n=5 Participants
|
|
Cancer diagnosis
|
1831 Participants
n=5 Participants
|
4182 Participants
n=7 Participants
|
6013 Participants
n=5 Participants
|
|
HIV diagnosis
|
3699 Participants
n=5 Participants
|
8448 Participants
n=7 Participants
|
12147 Participants
n=5 Participants
|
|
Number of chronic condition indicator (CCI)
|
17.0 indicators
STANDARD_DEVIATION 9.4 • n=5 Participants
|
17.0 indicators
STANDARD_DEVIATION 9.4 • n=7 Participants
|
17.0 indicators
STANDARD_DEVIATION 9.4 • n=5 Participants
|
|
Hospitalizations
|
1.0 hospitalizations
STANDARD_DEVIATION 2.1 • n=5 Participants
|
1.0 hospitalizations
STANDARD_DEVIATION 2.1 • n=7 Participants
|
1.0 hospitalizations
STANDARD_DEVIATION 2.1 • n=5 Participants
|
|
ED visits
|
1.1 visits
STANDARD_DEVIATION 4.0 • n=5 Participants
|
1.1 visits
STANDARD_DEVIATION 4.0 • n=7 Participants
|
1.1 visits
STANDARD_DEVIATION 4.0 • n=5 Participants
|
PRIMARY outcome
Timeframe: Baseline and 12 monthsPopulation: Results for HH enrollees and a matched comparison group of HH non-enrollees
Proportion of hospitalizations related to diabetes that could have been prevented. Diabetes-related potentially preventable hospitalizations are admissions to a hospital for certain acute illnesses or worsening chronic conditions that might not have required hospitalization had these conditions been managed successfully by primary care providers in outpatient settings.
Outcome measures
| Measure |
Health Home Patients
n=11646 Participants
The cohort is made up of patients with type 2 diabetes, insured by Medicaid, and eligible for participation in a Medicaid Health Home (either due to HIV infection, serious mental illness, or multiple chronic conditions). This group included patients who participated in the Health Home program.
|
Non-Health Home Patients
n=26601 Participants
This group included patients who did participate in the Health Home program, but had type 2 diabetes, were insured by Medicaid, and met eligibility requirements for the Health Homes..
|
|---|---|---|
|
Number of Enrollees With Diabetes-related Preventable Hospitalizations
Baseline
|
48 Participants
|
109 Participants
|
|
Number of Enrollees With Diabetes-related Preventable Hospitalizations
12 months
|
48 Participants
|
90 Participants
|
SECONDARY outcome
Timeframe: 12 monthsNumber of primary care visits to assess the impact of Health Home (HH) enrollment compared to usual care among Medicaid-insured patients with diabetes and other chronic conditions on access to health care and social services and COVID-19 and non-COVID-19 clinical outcomes.
Outcome measures
| Measure |
Health Home Patients
n=11646 Participants
The cohort is made up of patients with type 2 diabetes, insured by Medicaid, and eligible for participation in a Medicaid Health Home (either due to HIV infection, serious mental illness, or multiple chronic conditions). This group included patients who participated in the Health Home program.
|
Non-Health Home Patients
n=26601 Participants
This group included patients who did participate in the Health Home program, but had type 2 diabetes, were insured by Medicaid, and met eligibility requirements for the Health Homes..
|
|---|---|---|
|
Number of Primary Care Visits
|
10.9 visits
Standard Deviation 10.9
|
8.7 visits
Standard Deviation 10.9
|
SECONDARY outcome
Timeframe: 12 monthsNumber of months of Medicaid coverage to assess the impact of Health Home (HH) enrollment compared to usual care among Medicaid-insured patients with diabetes and other chronic conditions on access to health care and social services and COVID-19 and non-COVID-19 clinical outcomes.
Outcome measures
| Measure |
Health Home Patients
n=11646 Participants
The cohort is made up of patients with type 2 diabetes, insured by Medicaid, and eligible for participation in a Medicaid Health Home (either due to HIV infection, serious mental illness, or multiple chronic conditions). This group included patients who participated in the Health Home program.
|
Non-Health Home Patients
n=26601 Participants
This group included patients who did participate in the Health Home program, but had type 2 diabetes, were insured by Medicaid, and met eligibility requirements for the Health Homes..
|
|---|---|---|
|
Number of Months of Medicaid Coverage
|
11.7 months
Standard Deviation 1.3
|
10.7 months
Standard Deviation 1.3
|
Adverse Events
Health Home Patients
Non-Health Home Patients
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
Dr. Victoria Mayer
Icahn School of Medicine at Mount Sinai
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place