Testing the Replicability of a Successful Care Management Program: Results from a Randomized Trial and Likely Explanations for Why Impacts Did Not Replicate.

ABSTRACT:

Objectives

To test whether a care management program could replicate its success in an earlier trial and determine likely explanations for why it did not.

Data sources/setting

Medicare claims and nurse contact data for Medicare fee-for-service beneficiaries with chronic illnesses enrolled in the trial in eastern Pennsylvania (N = 483).

Study design

A randomized trial with half of enrollees receiving intensive care management services and half receiving usual care. We developed and tested hypotheses for why impacts declined.

Data extraction

All outcomes and covariates were derived from claims and the nurse contact data.

Principal findings

From 2010 to 2014, the program did not reduce hospitalizations or generate Medicare savings to offset program fees tha

SUBMITTER: Peterson GG 

PROVIDER: S-EPMC5134141 | biostudies-literature | 2016 Dec

REPOSITORIES: biostudies-literature