Evaluation of Programs of Coordinated Care and Disease Management
Coca
2 other identifiers
interventional
18,277
1 country
15
Brief Summary
This is a Congressionally mandated study. In the original study, 16 demonstration programs provided care coordination services to beneficiaries with chronic illness in Medicare's fee-for-service program. A five-year CMS-funded study tested whether the programs can improve patients' use of medical services, improve patients' outcomes and satisfaction with care, and reduce Medicare costs. The study also assessed physicians' satisfaction with the programs. In 2008 Congress extended the project for two of the original programs--Mercy Medical Center - North Iowa and Health Quality Partners in Pennsylvania--and they will enroll Medicare beneficiaries and provide care coordination services into the spring of 2010.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Sep 2000
Longer than P75 for not_applicable
15 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
September 1, 2000
CompletedFirst Submitted
Initial submission to the registry
February 15, 2008
CompletedFirst Posted
Study publicly available on registry
February 29, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2015
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2016
CompletedOctober 1, 2015
September 1, 2015
14.9 years
February 15, 2008
September 29, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Medicare program expenditures
Eight years
Secondary Outcomes (1)
Claims-based and patient-reported quality of care
Eight years
Study Arms (2)
Intervention
EXPERIMENTALCare coordination, consisting variously (depending on the demonstration site)--nurse telephonic counseling, nurse in-person home visits, home telemonitoring equipment, and physician education and feedback.
Control
NO INTERVENTIONUsual care in Medicare fee-for-service from beneficiaries' physicians and other health care providers
Interventions
Depending on the demonstration site, may consist of nurse telephonic counseling and monitoring, nurse in-person or home visits, home telemonitoring equipment, patient educational materials, patient group educations classes, physician education and feedback.
Eligibility Criteria
You may qualify if:
- Meets clinical and prior health service use criteria of each of the 16 demonstration sites (vary across demonstration programs)
- Resides in catchment area of one of the programs
- Enrolled in Medicare fee-for-service program
- Coverage by both Medicare Parts A and B
- Medicare is primary payer
You may not qualify if:
- Not enrolled in a Medicare Advantage plan (Medicare managed care program)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (15)
Hospice of the Valley MediCaring Project
Phoenix, Arizona, 85016, United States
Georgetown University Medical Center-Mind My Heart Program
Washington D.C., District of Columbia, 20036, United States
Quality Oncology/Matria Healthcare
Sunrise, Florida, 33323, United States
CorSolutions/Matria Healthcare
Rosemont, Illinois, 60018, United States
Carle Foundation and Hospital
Urbana, Illinois, 61801, United States
Mercy Medical Center - North Iowa
Mason City, Iowa, 50401, United States
Medical Care Development
Augusta, Maine, 04330, United States
University of Maryland Medical Center
Baltimore, Maryland, 21201, United States
Charlestown/Erickson Retirement Communities
Catonsville, Maryland, 21228, United States
Washington University-St.Louis School of Medicine/Barnes-Jewish Hospital
St Louis, Missouri, 63110, United States
QMed, Inc.
Eatontown, New Jersey, 07724, United States
Lovelace Health Systems
Albuquerque, New Mexico, 87102, United States
Jewish Home Lifecare
New York, New York, 10025, United States
Avera McKennan Hospital and University Health Center
Sioux Falls, South Dakota, 57117, United States
CenVaNet
Richmond, Virginia, 23220, United States
Related Publications (1)
Peikes D, Chen A, Schore J, Brown R. Effects of care coordination on hospitalization, quality of care, and health care expenditures among Medicare beneficiaries: 15 randomized trials. JAMA. 2009 Feb 11;301(6):603-18. doi: 10.1001/jama.2009.126.
PMID: 19211468DERIVED
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Randall S. Brown, Ph.D.
Mathematica Policy Research, Inc.
- STUDY DIRECTOR
Carol A. Magee, Ph.D.
Centers for Medicare & Medicaid Services
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 15, 2008
First Posted
February 29, 2008
Study Start
September 1, 2000
Primary Completion
August 1, 2015
Study Completion
December 1, 2016
Last Updated
October 1, 2015
Record last verified: 2015-09