NCT00385879

The Effects of Case Management in a Medicaid Managed Care Plan

• Status: Unknown
• Phase: N/A
• Study type: Interventional
• Enrollment: 500 (planned)
• Sponsor: Metropolitan Jewish Health System · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

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

Interventions

Type	Name	Description
BEHAVIORAL	Case management

Timeline

• Start date: 2006-05-01
• Completion: 2008-01-01
• First posted: 2006-10-11
• Last updated: 2006-10-11

Locations

1 site across 1 country: United States