Trial Outcomes & Findings for Integrated Care (IC) Models for Patient-Centered Outcomes (NCT NCT03451630)

NCT ID: NCT03451630

Last Updated: 2024-12-09

Results Overview

Assessed using the Patient Activation Measure (PAM), a 13-item scale that gauges individual knowledge, skills, and confidence essential to managing one's own health. We assess a global score of the PAM measure, with scores ranging from 0 to 100; lower values represent a poor outcome while higher values represent a better outcome.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

1400 participants

Primary outcome timeframe

Baseline, 3-, 6-, and 12-months.

Results posted on

2024-12-09

Participant Flow

Enrollment occurred between September 4, 2018 and November 4, 2021. Care Managers enrolled eligible individuals during an initial in-home or telephonic visit; a study team member conducted randomization.

Participant milestones

Participant milestones
Measure
High-Touch
Delivered primarily via face-to-face interactions, with telephonic interactions and information sharing that does not require access to mobile devices or the Internet. In-person support and/or telephonic interactions to occur at least four times over at least a four-month period. High-Touch: Intensive, in-person and/or telephonic support.
High-Tech
Delivered via a remote care management platform and digital health tools. Remote care support interactions to occur for at least a four-month period. High-Tech: Remote care management and self-directed digital tools.
Optimal Discharge Planning
Delivered via Health Plan support and resources within 14-30 days of an initial home or telephonic visit. Optimal Discharge Planning: Transition to other Health Plan disease management programs and/or community resources.
Overall Study
STARTED
562
552
286
Overall Study
COMPLETED
535
529
268
Overall Study
NOT COMPLETED
27
23
18

Reasons for withdrawal

Reasons for withdrawal
Measure
High-Touch
Delivered primarily via face-to-face interactions, with telephonic interactions and information sharing that does not require access to mobile devices or the Internet. In-person support and/or telephonic interactions to occur at least four times over at least a four-month period. High-Touch: Intensive, in-person and/or telephonic support.
High-Tech
Delivered via a remote care management platform and digital health tools. Remote care support interactions to occur for at least a four-month period. High-Tech: Remote care management and self-directed digital tools.
Optimal Discharge Planning
Delivered via Health Plan support and resources within 14-30 days of an initial home or telephonic visit. Optimal Discharge Planning: Transition to other Health Plan disease management programs and/or community resources.
Overall Study
Death
15
16
11
Overall Study
Lost to Follow-up
9
0
4
Overall Study
Withdrawal by Subject
0
3
0
Overall Study
Unable to confirm accurate eligibility criteria after randomization and intervention completion.
3
4
3

Baseline Characteristics

Integrated Care (IC) Models for Patient-Centered Outcomes

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
High-Touch
n=559 Participants
Delivered primarily via face-to-face interactions, with telephonic interactions and information sharing that does not require access to mobile devices or the Internet. In-person support and/or telephonic interactions to occur at least four times over at least a four-month period. High-Touch: Intensive, in-person and/or telephonic support.
High-Tech
n=545 Participants
Delivered via a remote care management platform and digital health tools. Remote care support interactions to occur for at least a four-month period. High-Tech: Remote care management and self-directed digital tools.
Optimal Discharge Planning
n=283 Participants
Delivered via Health Plan support and resources within 14-30 days of an initial home or telephonic visit. Optimal Discharge Planning: Transition to other Health Plan disease management programs and/or community resources.
Total
n=1387 Participants
Total of all reporting groups
Age, Continuous
52.87 years
STANDARD_DEVIATION 11.68 • n=5 Participants
53.59 years
STANDARD_DEVIATION 11.59 • n=7 Participants
53.67 years
STANDARD_DEVIATION 12.08 • n=5 Participants
53.32 years
STANDARD_DEVIATION 11.72 • n=4 Participants
Sex: Female, Male
Female
341 Participants
n=5 Participants
345 Participants
n=7 Participants
188 Participants
n=5 Participants
874 Participants
n=4 Participants
Sex: Female, Male
Male
218 Participants
n=5 Participants
200 Participants
n=7 Participants
95 Participants
n=5 Participants
513 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
15 Participants
n=5 Participants
15 Participants
n=7 Participants
9 Participants
n=5 Participants
39 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
544 Participants
n=5 Participants
530 Participants
n=7 Participants
274 Participants
n=5 Participants
1348 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
7 Participants
n=5 Participants
5 Participants
n=7 Participants
3 Participants
n=5 Participants
15 Participants
n=4 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=5 Participants
3 Participants
n=7 Participants
0 Participants
n=5 Participants
4 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
122 Participants
n=5 Participants
120 Participants
n=7 Participants
57 Participants
n=5 Participants
299 Participants
n=4 Participants
Race (NIH/OMB)
White
414 Participants
n=5 Participants
394 Participants
n=7 Participants
204 Participants
n=5 Participants
1012 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
10 Participants
n=5 Participants
8 Participants
n=7 Participants
9 Participants
n=5 Participants
27 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
4 Participants
n=5 Participants
15 Participants
n=7 Participants
10 Participants
n=5 Participants
29 Participants
n=4 Participants
Charlson Comorbidity Index (CCI)
4.94 units on a scale
STANDARD_DEVIATION 3.23 • n=5 Participants
5.14 units on a scale
STANDARD_DEVIATION 3.07 • n=7 Participants
5.16 units on a scale
STANDARD_DEVIATION 3.42 • n=5 Participants
5.06 units on a scale
STANDARD_DEVIATION 3.21 • n=4 Participants
Area Deprivation Index (ADI)
109.64 units on a scale
STANDARD_DEVIATION 5.29 • n=5 Participants
109.45 units on a scale
STANDARD_DEVIATION 5.62 • n=7 Participants
109.60 units on a scale
STANDARD_DEVIATION 5.11 • n=5 Participants
109.56 units on a scale
STANDARD_DEVIATION 5.38 • n=4 Participants
Comfort with Technology/ Digital Literacy
Comfortable: Disagree Strongly
33 Participants
n=5 Participants
41 Participants
n=7 Participants
16 Participants
n=5 Participants
90 Participants
n=4 Participants
Comfort with Technology/ Digital Literacy
Comfortable: Disagree
85 Participants
n=5 Participants
70 Participants
n=7 Participants
35 Participants
n=5 Participants
190 Participants
n=4 Participants
Comfort with Technology/ Digital Literacy
Comfortable: Agree
310 Participants
n=5 Participants
296 Participants
n=7 Participants
162 Participants
n=5 Participants
768 Participants
n=4 Participants
Comfort with Technology/ Digital Literacy
Comfortable: Agree Strongly
131 Participants
n=5 Participants
138 Participants
n=7 Participants
70 Participants
n=5 Participants
339 Participants
n=4 Participants
Line of Business (Medicaid/ Medicaid-Medicare)
Medicare-Medicaid
118 Participants
n=5 Participants
107 Participants
n=7 Participants
59 Participants
n=5 Participants
284 Participants
n=4 Participants
Line of Business (Medicaid/ Medicaid-Medicare)
Medicaid
441 Participants
n=5 Participants
438 Participants
n=7 Participants
224 Participants
n=5 Participants
1103 Participants
n=4 Participants
Engagement at Baseline
No
215 Participants
n=5 Participants
213 Participants
n=7 Participants
246 Participants
n=5 Participants
674 Participants
n=4 Participants
Engagement at Baseline
Yes
344 Participants
n=5 Participants
332 Participants
n=7 Participants
37 Participants
n=5 Participants
713 Participants
n=4 Participants

PRIMARY outcome

Timeframe: Baseline, 3-, 6-, and 12-months.

Population: Includes all individuals who completed the measure at least one timepoint.

Assessed using the Patient Activation Measure (PAM), a 13-item scale that gauges individual knowledge, skills, and confidence essential to managing one's own health. We assess a global score of the PAM measure, with scores ranging from 0 to 100; lower values represent a poor outcome while higher values represent a better outcome.

Outcome measures

Outcome measures
Measure
High-Touch
n=495 Participants
Delivered primarily via face-to-face interactions, with telephonic interactions and information sharing that does not require access to mobile devices or the Internet. In-person support and/or telephonic interactions to occur at least four times over at least a four-month period. High-Touch: Intensive, in-person and/or telephonic support.
High-Tech
n=506 Participants
Delivered via a remote care management platform and digital health tools. Remote care support interactions to occur for at least a four-month period. High-Tech: Remote care management and self-directed digital tools.
Optimal Discharge Planning
n=237 Participants
Delivered via Health Plan support and resources within 14-30 days of an initial home or telephonic visit. Optimal Discharge Planning: Transition to other Health Plan disease management programs and/or community resources.
Patient Activation
Baseline
61.87 score on a scale
Standard Deviation 14.36
63.73 score on a scale
Standard Deviation 16.10
63.82 score on a scale
Standard Deviation 16.12
Patient Activation
3-Months
63.15 score on a scale
Standard Deviation 15.56
63.60 score on a scale
Standard Deviation 16.65
63.60 score on a scale
Standard Deviation 15.98
Patient Activation
6-Months
62.55 score on a scale
Standard Deviation 16.03
62.15 score on a scale
Standard Deviation 15.84
64.76 score on a scale
Standard Deviation 15.98
Patient Activation
12-Months
63.15 score on a scale
Standard Deviation 15.05
64.58 score on a scale
Standard Deviation 15.41
62.83 score on a scale
Standard Deviation 15.75

PRIMARY outcome

Timeframe: Baseline, 3-, 6-, and 12-months.

Population: Includes all individuals who completed the measure at least one timepoint.

Assessed using the RAND 36-Item Short Form Survey 1.0 (SF-36). The SF-36 is a set of 36 health status and quality-of-life measures that are patient self-reported and measure functional health and well-being within eight domains, including physical functioning, role limitations due to physical health, role limitations due to emotional problems, energy/fatigue, emotional well-being, social functioning, pain, and general health. Values are recoded per the scoring key relating each item to the appropriate subscale. All items are scored so that a high score defines a more favorable health state. We assess a global scale with a 0 to 100 range with 0 being worst possible health status and 100 being the best possible health status.

Outcome measures

Outcome measures
Measure
High-Touch
n=496 Participants
Delivered primarily via face-to-face interactions, with telephonic interactions and information sharing that does not require access to mobile devices or the Internet. In-person support and/or telephonic interactions to occur at least four times over at least a four-month period. High-Touch: Intensive, in-person and/or telephonic support.
High-Tech
n=505 Participants
Delivered via a remote care management platform and digital health tools. Remote care support interactions to occur for at least a four-month period. High-Tech: Remote care management and self-directed digital tools.
Optimal Discharge Planning
n=236 Participants
Delivered via Health Plan support and resources within 14-30 days of an initial home or telephonic visit. Optimal Discharge Planning: Transition to other Health Plan disease management programs and/or community resources.
Change in Health Status
6-Month
41.86 score on a scale
Standard Deviation 19.84
41.39 score on a scale
Standard Deviation 19.84
41.83 score on a scale
Standard Deviation 20.84
Change in Health Status
12-Month
42.68 score on a scale
Standard Deviation 20.50
42.27 score on a scale
Standard Deviation 19.63
40.85 score on a scale
Standard Deviation 19.03
Change in Health Status
Baseline
39.61 score on a scale
Standard Deviation 18.39
39.50 score on a scale
Standard Deviation 18.65
39.05 score on a scale
Standard Deviation 17.80
Change in Health Status
3-Month
42.12 score on a scale
Standard Deviation 20.06
42.03 score on a scale
Standard Deviation 19.90
41.31 score on a scale
Standard Deviation 19.99

PRIMARY outcome

Timeframe: 1 to 90 days

Population: 8 participants (0.57%) have missing readmission data. Since 31 participants had more than one admission within 90 days, a binary indicator of readmission within 90 days was generated and used as a primary outcome.

90-Day Readmissions will be measured using an all-cause readmission rate from inpatient claims for physical and behavioral health service use within 90 days following discharge from the qualifying inpatient admission prior to enrollment in the study.

Outcome measures

Outcome measures
Measure
High-Touch
n=557 Participants
Delivered primarily via face-to-face interactions, with telephonic interactions and information sharing that does not require access to mobile devices or the Internet. In-person support and/or telephonic interactions to occur at least four times over at least a four-month period. High-Touch: Intensive, in-person and/or telephonic support.
High-Tech
n=541 Participants
Delivered via a remote care management platform and digital health tools. Remote care support interactions to occur for at least a four-month period. High-Tech: Remote care management and self-directed digital tools.
Optimal Discharge Planning
n=281 Participants
Delivered via Health Plan support and resources within 14-30 days of an initial home or telephonic visit. Optimal Discharge Planning: Transition to other Health Plan disease management programs and/or community resources.
90-Day Hospital Readmission Rate
No readmission within 90 days
472 Participants
470 Participants
240 Participants
90-Day Hospital Readmission Rate
At least one readmission within 90 days
85 Participants
71 Participants
41 Participants

SECONDARY outcome

Timeframe: 1 to 30 days

Population: Since only 2 participants had more than one admission (2 admissions) within 30 days, a binary indicator of readmission within 30 days was generated and used as the outcome.

30-Day Readmissions will be measured using an all-cause readmission rate in claims for physical and behavioral health service use within 30 days following discharge from the qualifying inpatient admission prior to enrollment in the study.

Outcome measures

Outcome measures
Measure
High-Touch
n=559 Participants
Delivered primarily via face-to-face interactions, with telephonic interactions and information sharing that does not require access to mobile devices or the Internet. In-person support and/or telephonic interactions to occur at least four times over at least a four-month period. High-Touch: Intensive, in-person and/or telephonic support.
High-Tech
n=545 Participants
Delivered via a remote care management platform and digital health tools. Remote care support interactions to occur for at least a four-month period. High-Tech: Remote care management and self-directed digital tools.
Optimal Discharge Planning
n=283 Participants
Delivered via Health Plan support and resources within 14-30 days of an initial home or telephonic visit. Optimal Discharge Planning: Transition to other Health Plan disease management programs and/or community resources.
30-Day Hospital Readmission Rate
No readmission within 30 days
535 Participants
528 Participants
272 Participants
30-Day Hospital Readmission Rate
At least one readmission within 30 days
24 Participants
17 Participants
11 Participants

SECONDARY outcome

Timeframe: Baseline, 3-, 6-, and 12-months.

Population: Includes all individuals who completed the measure at least one timepoint.

Assessed using the PROMIS Physical Function - Short Form 6b with six self-reported physical function measures to assess current function, including activities of daily living. Each question has five response options (a 5-point Likert scale) ranging from one to five with 5 being the highest level of physical function and 1 being the lowest. Per best practices, the instrument is scored by Health Measures Scoring Service, using item-level calibrations using responses to each item for each participant, producing a T-score. The highest possible T-score score is 59, indicating the highest level of physical function, and the lowest is 21, indicating the lowest level of physical function.

Outcome measures

Outcome measures
Measure
High-Touch
n=478 Participants
Delivered primarily via face-to-face interactions, with telephonic interactions and information sharing that does not require access to mobile devices or the Internet. In-person support and/or telephonic interactions to occur at least four times over at least a four-month period. High-Touch: Intensive, in-person and/or telephonic support.
High-Tech
n=494 Participants
Delivered via a remote care management platform and digital health tools. Remote care support interactions to occur for at least a four-month period. High-Tech: Remote care management and self-directed digital tools.
Optimal Discharge Planning
n=224 Participants
Delivered via Health Plan support and resources within 14-30 days of an initial home or telephonic visit. Optimal Discharge Planning: Transition to other Health Plan disease management programs and/or community resources.
Functional Status
6-Month
37.30 T score
Standard Deviation 7.87
36.85 T score
Standard Deviation 7.76
37.24 T score
Standard Deviation 7.91
Functional Status
12-Month
36.99 T score
Standard Deviation 8.65
36.73 T score
Standard Deviation 8.14
36.29 T score
Standard Deviation 7.66
Functional Status
Baseline
36.75 T score
Standard Deviation 7.89
36.29 T score
Standard Deviation 7.98
35.78 T score
Standard Deviation 7.60
Functional Status
3-Month
37.11 T score
Standard Deviation 7.65
37.02 T score
Standard Deviation 7.97
36.83 T score
Standard Deviation 8.20

SECONDARY outcome

Timeframe: Baseline, 3-, 6-, and 12-months.

Population: Includes all individuals who completed the measure at least one timepoint.

Quality of Life will be assessed using the Quality of Life Enjoyment and Satisfaction Questionnaire - Short Form (Q-LES-Q-SF), which is a self-report measure consisting of 16 questions designed to enable investigators to easily obtain sensitive measures of the degree of enjoyment and satisfaction experienced by subjects in various areas of daily functioning during the past week. The scoring of the Q-LES-Q-SF involves summing only the first 14 items to yield a raw total score, ranging from 14 to 70. The raw total score is calculated into a maximum possible score using the following formula: (raw total score - minimum score)/(maximum possible raw score - minimum score). The minimum raw score on the Q-LES-Q-SF is 14, and the maximum score is 70. Thus, the formula for maximum score can also be written as: (raw score - 14)/56.

Outcome measures

Outcome measures
Measure
High-Touch
n=492 Participants
Delivered primarily via face-to-face interactions, with telephonic interactions and information sharing that does not require access to mobile devices or the Internet. In-person support and/or telephonic interactions to occur at least four times over at least a four-month period. High-Touch: Intensive, in-person and/or telephonic support.
High-Tech
n=504 Participants
Delivered via a remote care management platform and digital health tools. Remote care support interactions to occur for at least a four-month period. High-Tech: Remote care management and self-directed digital tools.
Optimal Discharge Planning
n=236 Participants
Delivered via Health Plan support and resources within 14-30 days of an initial home or telephonic visit. Optimal Discharge Planning: Transition to other Health Plan disease management programs and/or community resources.
Quality of Life
12-Month
0.54 score on a scale
Standard Deviation 0.20
0.52 score on a scale
Standard Deviation 0.19
0.53 score on a scale
Standard Deviation 0.19
Quality of Life
Baseline
0.50 score on a scale
Standard Deviation 0.19
0.51 score on a scale
Standard Deviation 0.19
0.51 score on a scale
Standard Deviation 0.21
Quality of Life
3-Month
0.52 score on a scale
Standard Deviation 0.19
0.52 score on a scale
Standard Deviation 0.19
0.52 score on a scale
Standard Deviation 0.20
Quality of Life
6-Month
0.52 score on a scale
Standard Deviation 0.20
0.52 score on a scale
Standard Deviation 0.20
0.52 score on a scale
Standard Deviation 0.21

SECONDARY outcome

Timeframe: Baseline, 3-, 6-, and 12-months.

Population: Includes all individuals who completed the measure at least one timepoint.

Care satisfaction will be assessed using the Patient Assessment of Care for Chronic Conditions (PACIC) Survey. The PACIC Survey consists of 20-items that measures specific actions or qualities of care that patients report they have experienced in the care of their chronic conditions over the past 6 months. Each item is measured on a scale from 1-5 with 5 signifying higher patient satisfaction and 1 being the lowest. Scoring requires obtaining the mean of all 20 items.

Outcome measures

Outcome measures
Measure
High-Touch
n=492 Participants
Delivered primarily via face-to-face interactions, with telephonic interactions and information sharing that does not require access to mobile devices or the Internet. In-person support and/or telephonic interactions to occur at least four times over at least a four-month period. High-Touch: Intensive, in-person and/or telephonic support.
High-Tech
n=502 Participants
Delivered via a remote care management platform and digital health tools. Remote care support interactions to occur for at least a four-month period. High-Tech: Remote care management and self-directed digital tools.
Optimal Discharge Planning
n=236 Participants
Delivered via Health Plan support and resources within 14-30 days of an initial home or telephonic visit. Optimal Discharge Planning: Transition to other Health Plan disease management programs and/or community resources.
Care Satisfaction
Baseline
2.96 score on a scale
Standard Deviation 0.98
2.86 score on a scale
Standard Deviation 0.94
2.96 score on a scale
Standard Deviation 1.00
Care Satisfaction
3-Month
3.02 score on a scale
Standard Deviation 1.00
2.99 score on a scale
Standard Deviation 0.99
2.97 score on a scale
Standard Deviation 0.97
Care Satisfaction
6-Month
3.03 score on a scale
Standard Deviation 0.98
2.97 score on a scale
Standard Deviation 1.01
2.93 score on a scale
Standard Deviation 1.00
Care Satisfaction
12-Month
3.05 score on a scale
Standard Deviation 1.01
3.03 score on a scale
Standard Deviation 1.01
3.00 score on a scale
Standard Deviation 0.99

SECONDARY outcome

Timeframe: Assessed at baseline, 6- and 12-Months.

Population: For each timepoint, participants who were eligible for Medicaid/Medicaid-Medicare with available claims data during at least 9 months (non-continuous) of the past 12 months.

Emergent care use will be measured using existing behavioral and physical health claims data to determine the frequency of emergency department visits within 12-months from enrollment.

Outcome measures

Outcome measures
Measure
High-Touch
n=551 Participants
Delivered primarily via face-to-face interactions, with telephonic interactions and information sharing that does not require access to mobile devices or the Internet. In-person support and/or telephonic interactions to occur at least four times over at least a four-month period. High-Touch: Intensive, in-person and/or telephonic support.
High-Tech
n=535 Participants
Delivered via a remote care management platform and digital health tools. Remote care support interactions to occur for at least a four-month period. High-Tech: Remote care management and self-directed digital tools.
Optimal Discharge Planning
n=274 Participants
Delivered via Health Plan support and resources within 14-30 days of an initial home or telephonic visit. Optimal Discharge Planning: Transition to other Health Plan disease management programs and/or community resources.
Emergent Care Use
12-Month
2.41 visits
Standard Deviation 3.58
2.40 visits
Standard Deviation 4.32
2.29 visits
Standard Deviation 3.29
Emergent Care Use
Baseline
2.83 visits
Standard Deviation 3.25
2.40 visits
Standard Deviation 3.36
2.39 visits
Standard Deviation 3.73
Emergent Care Use
6-Month
1.33 visits
Standard Deviation 2.08
1.31 visits
Standard Deviation 2.44
1.25 visits
Standard Deviation 2.02

SECONDARY outcome

Timeframe: Assessed at baseline, 6- and 12-Months.

Population: For each timepoint, participants who were eligible for Medicaid/Medicaid-Medicare with available claims data during at least 9 months (non-continuous) of the past 12 months.

Engagement in primary care will be measured using existing behavioral and physical health claims determining participant frequency of non-acute visits for participants in the 12 months following enrollment. Because clinical standards of care are 1 primary care (PCP) visit every 12 months, PCP visits are assessed as a Y/N variable at 12-Months.

Outcome measures

Outcome measures
Measure
High-Touch
n=559 Participants
Delivered primarily via face-to-face interactions, with telephonic interactions and information sharing that does not require access to mobile devices or the Internet. In-person support and/or telephonic interactions to occur at least four times over at least a four-month period. High-Touch: Intensive, in-person and/or telephonic support.
High-Tech
n=545 Participants
Delivered via a remote care management platform and digital health tools. Remote care support interactions to occur for at least a four-month period. High-Tech: Remote care management and self-directed digital tools.
Optimal Discharge Planning
n=283 Participants
Delivered via Health Plan support and resources within 14-30 days of an initial home or telephonic visit. Optimal Discharge Planning: Transition to other Health Plan disease management programs and/or community resources.
Engagement in Primary Care
Baseline · At least one PCP visit
451 Participants
468 Participants
224 Participants
Engagement in Primary Care
Baseline · No PCP visit
64 Participants
41 Participants
30 Participants
Engagement in Primary Care
Baseline · Missing Data
44 Participants
36 Participants
29 Participants
Engagement in Primary Care
6-Months · At least one PCP visit
467 Participants
463 Participants
242 Participants
Engagement in Primary Care
6-Months · No PCP visit
84 Participants
72 Participants
32 Participants
Engagement in Primary Care
6-Months · Missing Data
8 Participants
10 Participants
9 Participants
Engagement in Primary Care
12-Months · At least one PCP visit
467 Participants
476 Participants
238 Participants
Engagement in Primary Care
12-Months · No PCP visit
62 Participants
44 Participants
22 Participants
Engagement in Primary Care
12-Months · Missing Data
30 Participants
25 Participants
23 Participants

SECONDARY outcome

Timeframe: Assessed at baseline, 6- and 12-Months.

Population: For each timepoint, participants who were eligible for Medicaid/Medicaid-Medicare with available claims data during at least 9 months (non-continuous) of the past 12 months.

Engagement in specialty care will be measured using existing behavioral and physical health claims data determining participant frequency of specialty provider visits for participants in the 12 months following enrollment. Specialty care is inclusive of any care provided outside of primary care, physical therapy, or occupational therapy.

Outcome measures

Outcome measures
Measure
High-Touch
n=551 Participants
Delivered primarily via face-to-face interactions, with telephonic interactions and information sharing that does not require access to mobile devices or the Internet. In-person support and/or telephonic interactions to occur at least four times over at least a four-month period. High-Touch: Intensive, in-person and/or telephonic support.
High-Tech
n=535 Participants
Delivered via a remote care management platform and digital health tools. Remote care support interactions to occur for at least a four-month period. High-Tech: Remote care management and self-directed digital tools.
Optimal Discharge Planning
n=274 Participants
Delivered via Health Plan support and resources within 14-30 days of an initial home or telephonic visit. Optimal Discharge Planning: Transition to other Health Plan disease management programs and/or community resources.
Engagement in Specialty Care
Baseline
7.29 visits
Standard Deviation 10.20
7.54 visits
Standard Deviation 8.89
7.20 visits
Standard Deviation 8.50
Engagement in Specialty Care
6-Month
4.15 visits
Standard Deviation 5.34
4.51 visits
Standard Deviation 6.53
4.08 visits
Standard Deviation 5.16
Engagement in Specialty Care
12-Month
7.80 visits
Standard Deviation 9.02
8.31 visits
Standard Deviation 10.39
7.84 visits
Standard Deviation 9.33

SECONDARY outcome

Timeframe: Assessed at baseline, 6- and 12-Months.

Population: For each timepoint, participants who were eligible for Medicaid/Medicaid-Medicare with available claims data during at least 9 months (non-continuous) of the past 12 months.

Readmissions over 12 months will be measured using an all-cause readmission rate from inpatient claims for physical and behavioral health service use within one year following discharge from the qualifying inpatient admission prior to enrollment in the study. Inpatient readmissions were lower than hypothesized for the population. As such, we assessed a Y/N variable for inpatient readmissions at 12-Months.

Outcome measures

Outcome measures
Measure
High-Touch
n=559 Participants
Delivered primarily via face-to-face interactions, with telephonic interactions and information sharing that does not require access to mobile devices or the Internet. In-person support and/or telephonic interactions to occur at least four times over at least a four-month period. High-Touch: Intensive, in-person and/or telephonic support.
High-Tech
n=545 Participants
Delivered via a remote care management platform and digital health tools. Remote care support interactions to occur for at least a four-month period. High-Tech: Remote care management and self-directed digital tools.
Optimal Discharge Planning
n=283 Participants
Delivered via Health Plan support and resources within 14-30 days of an initial home or telephonic visit. Optimal Discharge Planning: Transition to other Health Plan disease management programs and/or community resources.
Inpatient Readmissions Over 12-Months
Baseline · No inpatient admission
342 Participants
344 Participants
170 Participants
Inpatient Readmissions Over 12-Months
Baseline · One or more inpatient admissions
173 Participants
165 Participants
84 Participants
Inpatient Readmissions Over 12-Months
Baseline · Missing Data
44 Participants
36 Participants
29 Participants
Inpatient Readmissions Over 12-Months
6-Month · No inpatient admission
412 Participants
400 Participants
201 Participants
Inpatient Readmissions Over 12-Months
6-Month · One or more inpatient admissions
139 Participants
135 Participants
73 Participants
Inpatient Readmissions Over 12-Months
6-Month · Missing Data
8 Participants
10 Participants
9 Participants
Inpatient Readmissions Over 12-Months
12-Month · No inpatient admission
337 Participants
332 Participants
170 Participants
Inpatient Readmissions Over 12-Months
12-Month · One or more inpatient admissions
192 Participants
188 Participants
90 Participants
Inpatient Readmissions Over 12-Months
12-Month · Missing Data
30 Participants
25 Participants
23 Participants

SECONDARY outcome

Timeframe: Assessed at baseline, 6- and 12-Months.

Population: For each timepoint, participants who were eligible for Medicaid/Medicaid-Medicare with available claims data during at least 9 months (non-continuous) of the past 12 months.

Assessed using existing behavioral health claims data determining frequency of mental health care visits for participants in the 12 months following enrollment. Because of the low frequency, we assess mental health care visits as a Y/N variable.

Outcome measures

Outcome measures
Measure
High-Touch
n=559 Participants
Delivered primarily via face-to-face interactions, with telephonic interactions and information sharing that does not require access to mobile devices or the Internet. In-person support and/or telephonic interactions to occur at least four times over at least a four-month period. High-Touch: Intensive, in-person and/or telephonic support.
High-Tech
n=545 Participants
Delivered via a remote care management platform and digital health tools. Remote care support interactions to occur for at least a four-month period. High-Tech: Remote care management and self-directed digital tools.
Optimal Discharge Planning
n=283 Participants
Delivered via Health Plan support and resources within 14-30 days of an initial home or telephonic visit. Optimal Discharge Planning: Transition to other Health Plan disease management programs and/or community resources.
Mental Health Care Visits
6-Months · Missing Data
8 Participants
10 Participants
9 Participants
Mental Health Care Visits
12-Months · No mental health care visits
492 Participants
484 Participants
238 Participants
Mental Health Care Visits
Baseline · No mental health care visits
479 Participants
476 Participants
237 Participants
Mental Health Care Visits
Baseline · At least one mental health care visit
36 Participants
33 Participants
17 Participants
Mental Health Care Visits
Baseline · Missing Data
44 Participants
36 Participants
29 Participants
Mental Health Care Visits
6-Months · No mental health care visits
527 Participants
506 Participants
256 Participants
Mental Health Care Visits
6-Months · At least one mental health care visit
24 Participants
29 Participants
18 Participants
Mental Health Care Visits
12-Months · At least one mental health care visit
37 Participants
36 Participants
22 Participants
Mental Health Care Visits
12-Months · Missing Data
30 Participants
25 Participants
23 Participants

SECONDARY outcome

Timeframe: Assessed at baseline, 6- and 12-Months

Population: Only a very small portion of our total sample size was eligible for Gaps in Care analyses.

Gaps in care will be assessed using Healthcare Effectiveness Data and Information Set (HEDIS) quality metrics. For asthma, we assess the percentage of members 21-64 years of age during the measurement year who were identified as having persistent asthma and were dispensed appropriate medications that they remained on during the treatment period. Two rates are reported: 1. The percentage of members who remained on an asthma controller medication for at least 50% of their treatment period (MMA-1a). 2. The percentage of members who remained on an asthma controller medication for at least 75% of their treatment period (MMA-1b).

Outcome measures

Outcome measures
Measure
High-Touch
n=8 Participants
Delivered primarily via face-to-face interactions, with telephonic interactions and information sharing that does not require access to mobile devices or the Internet. In-person support and/or telephonic interactions to occur at least four times over at least a four-month period. High-Touch: Intensive, in-person and/or telephonic support.
High-Tech
n=13 Participants
Delivered via a remote care management platform and digital health tools. Remote care support interactions to occur for at least a four-month period. High-Tech: Remote care management and self-directed digital tools.
Optimal Discharge Planning
n=6 Participants
Delivered via Health Plan support and resources within 14-30 days of an initial home or telephonic visit. Optimal Discharge Planning: Transition to other Health Plan disease management programs and/or community resources.
Gaps in Care: Asthma
6-Month MMA-1b (75%) · Closed gap in care
2 Participants
7 Participants
2 Participants
Gaps in Care: Asthma
12-Month MMA-1b (75%) · Did not close gap in care
1 Participants
4 Participants
0 Participants
Gaps in Care: Asthma
12-Month MMA-1b (75%) · Closed gap in care
5 Participants
3 Participants
2 Participants
Gaps in Care: Asthma
Baseline MMA-1a (50%) · Did not close gap in care
6 Participants
3 Participants
3 Participants
Gaps in Care: Asthma
Baseline MMA-1a (50%) · Closed gap in care
2 Participants
10 Participants
3 Participants
Gaps in Care: Asthma
6-Month MMA-1a (50%) · Did not close gap in care
2 Participants
3 Participants
1 Participants
Gaps in Care: Asthma
6-Month MMA-1a (50%) · Closed gap in care
2 Participants
8 Participants
2 Participants
Gaps in Care: Asthma
12-Month MMA-1a (50%) · Did not close gap in care
1 Participants
1 Participants
0 Participants
Gaps in Care: Asthma
12-Month MMA-1a (50%) · Closed gap in care
5 Participants
6 Participants
2 Participants
Gaps in Care: Asthma
Baseline MMA-1b (75%) · Closed gap in care
2 Participants
4 Participants
3 Participants
Gaps in Care: Asthma
Baseline MMA-1b (75%) · Did not close gap in care
6 Participants
9 Participants
3 Participants
Gaps in Care: Asthma
6-Month MMA-1b (75%) · Did not close gap in care
2 Participants
4 Participants
1 Participants

SECONDARY outcome

Timeframe: Assessed at baseline, 6- and 12-Months

Population: Only a very small portion of the total sample was eligible for COPD Gaps in Care analyses.

Gaps in care will be assessed using Healthcare Effectiveness Data and Information Set (HEDIS) quality metrics. For COPD, we assess the percentage of COPD exacerbations for members 40 years of age and older who had an acute inpatient discharge or ED encounter and who were dispensed appropriate medications. Two rates reported: 1. Dispensed a systemic corticosteroid within 14 days of the event (PCE-1) 2. Dispensed a bronchodilator within 30 days of the event (PCE-2)

Outcome measures

Outcome measures
Measure
High-Touch
n=57 Participants
Delivered primarily via face-to-face interactions, with telephonic interactions and information sharing that does not require access to mobile devices or the Internet. In-person support and/or telephonic interactions to occur at least four times over at least a four-month period. High-Touch: Intensive, in-person and/or telephonic support.
High-Tech
n=54 Participants
Delivered via a remote care management platform and digital health tools. Remote care support interactions to occur for at least a four-month period. High-Tech: Remote care management and self-directed digital tools.
Optimal Discharge Planning
n=23 Participants
Delivered via Health Plan support and resources within 14-30 days of an initial home or telephonic visit. Optimal Discharge Planning: Transition to other Health Plan disease management programs and/or community resources.
Gaps in Care: Chronic Obstructive Pulmonary Disease (COPD)
Baseline PCE-1 · Did not close gap in care
4 Participants
3 Participants
1 Participants
Gaps in Care: Chronic Obstructive Pulmonary Disease (COPD)
Baseline PCE-1 · Closed gap in care
20 Participants
25 Participants
14 Participants
Gaps in Care: Chronic Obstructive Pulmonary Disease (COPD)
6-Month PCE-1 · Did not close gap in care
8 Participants
2 Participants
1 Participants
Gaps in Care: Chronic Obstructive Pulmonary Disease (COPD)
12-Month PCE-1 · Did not close gap in care
2 Participants
1 Participants
3 Participants
Gaps in Care: Chronic Obstructive Pulmonary Disease (COPD)
12-Month PCE-1 · Closed gap in care
33 Participants
33 Participants
11 Participants
Gaps in Care: Chronic Obstructive Pulmonary Disease (COPD)
Baseline PCE-2 · Did not close gap in care
8 Participants
4 Participants
3 Participants
Gaps in Care: Chronic Obstructive Pulmonary Disease (COPD)
Baseline PCE-2 · Closed gap in care
16 Participants
24 Participants
12 Participants
Gaps in Care: Chronic Obstructive Pulmonary Disease (COPD)
6-Month PCE-2 · Closed gap in care
50 Participants
46 Participants
20 Participants
Gaps in Care: Chronic Obstructive Pulmonary Disease (COPD)
12-Month PCE-2 · Did not close gap in care
5 Participants
7 Participants
1 Participants
Gaps in Care: Chronic Obstructive Pulmonary Disease (COPD)
12-Month PCE-2 · Closed gap in care
30 Participants
27 Participants
13 Participants
Gaps in Care: Chronic Obstructive Pulmonary Disease (COPD)
6-Month PCE-1 · Closed gap in care
49 Participants
52 Participants
22 Participants
Gaps in Care: Chronic Obstructive Pulmonary Disease (COPD)
6-Month PCE-2 · Did not close gap in care
7 Participants
8 Participants
3 Participants

SECONDARY outcome

Timeframe: Assessed at 30-days from an index admission discharge.

Population: Only a small portion of the total sample was eligible for CHF Gaps in Care analyses.

For Gaps in care related to CHF, we assess readmission rate within 30 days after discharge from inpatient stay for members with a diagnosis of CHF prior index hospitalization.

Outcome measures

Outcome measures
Measure
High-Touch
n=84 Participants
Delivered primarily via face-to-face interactions, with telephonic interactions and information sharing that does not require access to mobile devices or the Internet. In-person support and/or telephonic interactions to occur at least four times over at least a four-month period. High-Touch: Intensive, in-person and/or telephonic support.
High-Tech
n=98 Participants
Delivered via a remote care management platform and digital health tools. Remote care support interactions to occur for at least a four-month period. High-Tech: Remote care management and self-directed digital tools.
Optimal Discharge Planning
n=39 Participants
Delivered via Health Plan support and resources within 14-30 days of an initial home or telephonic visit. Optimal Discharge Planning: Transition to other Health Plan disease management programs and/or community resources.
Gaps in Care: Congestive Heart Failure (CHF)
Baseline
0.04 Number of readmissions within 30 days
Standard Deviation 0.17
0.04 Number of readmissions within 30 days
Standard Deviation 0.17
0.02 Number of readmissions within 30 days
Standard Deviation 0.11
Gaps in Care: Congestive Heart Failure (CHF)
6-Month
0.02 Number of readmissions within 30 days
Standard Deviation 0.10
0.04 Number of readmissions within 30 days
Standard Deviation 0.15
0.03 Number of readmissions within 30 days
Standard Deviation 0.12
Gaps in Care: Congestive Heart Failure (CHF)
12-Month
0.04 Number of readmissions within 30 days
Standard Deviation 0.13
0.04 Number of readmissions within 30 days
Standard Deviation 0.13
0.04 Number of readmissions within 30 days
Standard Deviation 0.12

SECONDARY outcome

Timeframe: Assessed at baseline, 6- and 12-Months

Population: Only a very small portion of the total sample was eligible for CVD Gaps in Care analyses.

Gaps in care will be assessed using Healthcare Effectiveness Data and Information Set (HEDIS) quality metrics. For CVD, we assess the percentage of males 21-75 years of age and females 40-75 years of age during the measurement year, who were identified as having clinical atherosclerotic cardiovascular disease (ASCVD) and met the following criteria. The following rates are reported: 1. Received Statin Therapy. Members who were dispensed at least one high-intensity or moderate-intensity statin medication during the measurement year (SPC-1). 2. Statin Adherence 80%. Members who remained on a high-intensity or moderate-intensity statin medication for at least 80% of the treatment period (SPC-2).

Outcome measures

Outcome measures
Measure
High-Touch
n=59 Participants
Delivered primarily via face-to-face interactions, with telephonic interactions and information sharing that does not require access to mobile devices or the Internet. In-person support and/or telephonic interactions to occur at least four times over at least a four-month period. High-Touch: Intensive, in-person and/or telephonic support.
High-Tech
n=79 Participants
Delivered via a remote care management platform and digital health tools. Remote care support interactions to occur for at least a four-month period. High-Tech: Remote care management and self-directed digital tools.
Optimal Discharge Planning
n=40 Participants
Delivered via Health Plan support and resources within 14-30 days of an initial home or telephonic visit. Optimal Discharge Planning: Transition to other Health Plan disease management programs and/or community resources.
Gaps in Care: Cardiovascular Disease (CVD)
Baseline SPC-1 · Did not close gap in care
7 Participants
4 Participants
5 Participants
Gaps in Care: Cardiovascular Disease (CVD)
6-Month SPC-1 · Did not close gap in care
8 Participants
5 Participants
6 Participants
Gaps in Care: Cardiovascular Disease (CVD)
6-Month SPC-1 · Closed gap in care
42 Participants
49 Participants
26 Participants
Gaps in Care: Cardiovascular Disease (CVD)
Baseline SPC-2 · Did not close gap in care
16 Participants
6 Participants
7 Participants
Gaps in Care: Cardiovascular Disease (CVD)
Baseline SPC-2 · Closed gap in care
22 Participants
32 Participants
15 Participants
Gaps in Care: Cardiovascular Disease (CVD)
6-Month SPC-2 · Did not close gap in care
11 Participants
17 Participants
11 Participants
Gaps in Care: Cardiovascular Disease (CVD)
Baseline SPC-1 · Closed gap in care
38 Participants
38 Participants
22 Participants
Gaps in Care: Cardiovascular Disease (CVD)
12-Month SPC-1 · Did not close gap in care
11 Participants
10 Participants
7 Participants
Gaps in Care: Cardiovascular Disease (CVD)
12-Month SPC-1 · Closed gap in care
48 Participants
69 Participants
33 Participants
Gaps in Care: Cardiovascular Disease (CVD)
6-Month SPC-2 · Closed gap in care
31 Participants
32 Participants
15 Participants
Gaps in Care: Cardiovascular Disease (CVD)
12-Month SPC-2 · Did not close gap in care
14 Participants
23 Participants
14 Participants
Gaps in Care: Cardiovascular Disease (CVD)
12-Month SPC-2 · Closed gap in care
34 Participants
46 Participants
19 Participants

SECONDARY outcome

Timeframe: Assessed at baseline, 6- and 12-Months

Population: Only a very small portion of the total sample was eligible for Diabetes Gaps in Care analyses.

Gaps in care will be assessed using Healthcare Effectiveness Data and Information Set (HEDIS) quality metrics. For diabetes, we assess the percentage of members 40-75 years of age during the measurement year with diabetes who do not have clinical atherosclerotic cardiovascular disease (ASCVD) who met the following criteria. Two rates are reported: 1. Received Statin Therapy. Members who were dispensed at least one statin medication of any intensity during the measurement year (SPD-1). 2. Statin Adherence 80%. Members who remained on a statin medication of any intensity for at least 80% of the treatment period (SPD-2).

Outcome measures

Outcome measures
Measure
High-Touch
n=107 Participants
Delivered primarily via face-to-face interactions, with telephonic interactions and information sharing that does not require access to mobile devices or the Internet. In-person support and/or telephonic interactions to occur at least four times over at least a four-month period. High-Touch: Intensive, in-person and/or telephonic support.
High-Tech
n=119 Participants
Delivered via a remote care management platform and digital health tools. Remote care support interactions to occur for at least a four-month period. High-Tech: Remote care management and self-directed digital tools.
Optimal Discharge Planning
n=59 Participants
Delivered via Health Plan support and resources within 14-30 days of an initial home or telephonic visit. Optimal Discharge Planning: Transition to other Health Plan disease management programs and/or community resources.
Gaps in Care: Diabetes
6-Month SPD-1 · Did not close gap in care
28 Participants
25 Participants
12 Participants
Gaps in Care: Diabetes
12-Month SPD-1 · Did not close gap in care
20 Participants
19 Participants
9 Participants
Gaps in Care: Diabetes
12-Month SPD-1 · Closed gap in care
68 Participants
69 Participants
25 Participants
Gaps in Care: Diabetes
Baseline SPD-2 · Did not close gap in care
19 Participants
31 Participants
18 Participants
Gaps in Care: Diabetes
6-Month SPD-2 · Did not close gap in care
18 Participants
27 Participants
11 Participants
Gaps in Care: Diabetes
Baseline SPD-1 · Did not close gap in care
25 Participants
24 Participants
15 Participants
Gaps in Care: Diabetes
Baseline SPD-1 · Closed gap in care
80 Participants
95 Participants
44 Participants
Gaps in Care: Diabetes
6-Month SPD-1 · Closed gap in care
79 Participants
79 Participants
33 Participants
Gaps in Care: Diabetes
Baseline SPD-2 · Closed gap in care
61 Participants
64 Participants
26 Participants
Gaps in Care: Diabetes
6-Month SPD-2 · Closed gap in care
61 Participants
52 Participants
22 Participants
Gaps in Care: Diabetes
12-Month SPD-2 · Did not close gap in care
14 Participants
26 Participants
6 Participants
Gaps in Care: Diabetes
12-Month SPD-2 · Closed gap in care
54 Participants
43 Participants
19 Participants

SECONDARY outcome

Timeframe: Assessed at baseline, 6- and 12-Months

Population: Only a very small portion of the total sample was eligible for Depression Gaps in Care analyses.

Gaps in care will be assessed using Healthcare Effectiveness Data and Information Set (HEDIS) quality metrics. For depression, we assess the percentage of members diagnosed with a new episode of major depression, treated with antidepressant medication, and who remained on an antidepressant medication for: 1. Effective Acute Phase Treatment - 84 days of continuous treatment during 114-day period following the Index Prescription Start Date (AMM-1). 2. Effective Continuation Phase Treatment - 180 days of continuous treatment during 231-day period following the Index Prescription Start Date (AMM-2).

Outcome measures

Outcome measures
Measure
High-Touch
n=56 Participants
Delivered primarily via face-to-face interactions, with telephonic interactions and information sharing that does not require access to mobile devices or the Internet. In-person support and/or telephonic interactions to occur at least four times over at least a four-month period. High-Touch: Intensive, in-person and/or telephonic support.
High-Tech
n=59 Participants
Delivered via a remote care management platform and digital health tools. Remote care support interactions to occur for at least a four-month period. High-Tech: Remote care management and self-directed digital tools.
Optimal Discharge Planning
n=34 Participants
Delivered via Health Plan support and resources within 14-30 days of an initial home or telephonic visit. Optimal Discharge Planning: Transition to other Health Plan disease management programs and/or community resources.
Gaps in Care: Depression
12-Month AMM-1 · Closed gap in care
34 Participants
37 Participants
25 Participants
Gaps in Care: Depression
Baseline AMM-1 · Closed gap in care
29 Participants
35 Participants
13 Participants
Gaps in Care: Depression
6-Month AMM-1 · Did not close gap in care
20 Participants
14 Participants
6 Participants
Gaps in Care: Depression
6-Month AMM-1 · Closed gap in care
35 Participants
30 Participants
19 Participants
Gaps in Care: Depression
Baseline AMM-2 · Did not close gap in care
28 Participants
19 Participants
16 Participants
Gaps in Care: Depression
12-Month AMM-2 · Did not close gap in care
32 Participants
31 Participants
14 Participants
Gaps in Care: Depression
12-Month AMM-2 · Closed gap in care
24 Participants
28 Participants
20 Participants
Gaps in Care: Depression
Baseline AMM-1 · Did not close gap in care
24 Participants
12 Participants
10 Participants
Gaps in Care: Depression
12-Month AMM-1 · Did not close gap in care
22 Participants
22 Participants
9 Participants
Gaps in Care: Depression
Baseline AMM-2 · Closed gap in care
25 Participants
28 Participants
7 Participants
Gaps in Care: Depression
6-Month AMM-2 · Did not close gap in care
26 Participants
24 Participants
9 Participants
Gaps in Care: Depression
6-Month AMM-2 · Closed gap in care
29 Participants
20 Participants
16 Participants

Adverse Events

High-Touch

Serious events: 0 serious events
Other events: 0 other events
Deaths: 15 deaths

High-Tech

Serious events: 0 serious events
Other events: 0 other events
Deaths: 17 deaths

Optimal Discharge Planning

Serious events: 0 serious events
Other events: 0 other events
Deaths: 11 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Kelly Williams, PhD, MPH

UPMC Center for High-Value Health Care

Phone: 412-454-1198

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place