title: Colorado access' enhanced care management for high-cost, high-need Medicaid members: preliminary outcomes and lessons learned.
abstract: Colorado Access, a nonprofit health plan, collaborated with the Center for Health Care Strategies and the State of Colorado Department of Health Care Policy Financing, to develop, implement, and evaluate a care management services pilot program focused on improving the quality of care and decreasing the cost of care for the highest cost, highest need Medicaid recipients. Colorado Access' preliminary internal evaluation demonstrated decreases in hospitalizations and emergency department utilization and increases in primary care ambulatory visits and member satisfaction. Qualitative analyses informed program implementation. Implementation lessons learned are discussed.
authors.affiliation: Department of Community Mental Health Integration, Colorado Access, Denver, Colorado, USA. jeanette.waxmonsky@coaccess.com
authors.forename: Jeanette A
authors.initials: JA
authors.lastname: Waxmonsky
authors.forename: Alexis A
authors.initials: AA
authors.lastname: Giese
authors.forename: Gretchen F
authors.initials: GF
authors.lastname: McGinnis
authors.forename: Reid T
authors.initials: RT
authors.lastname: Reynolds
authors.forename: April
authors.initials: A
authors.lastname: Abrahamson
authors.forename: Michael L
authors.initials: ML
authors.lastname: McKitterick
authors.forename: Laura
authors.initials: L
authors.lastname: Coleman
authors.forename: Marshall R
authors.initials: MR
authors.lastname: Thomas
mesh_terms: D000328:Adult; D003120:Colorado; D019033:Delivery of Health Care, Integrated / Q000191:economics / Q000458:organization & administration / Q000706:statistics & numerical data; D005260:Female; D017048:Health Care Costs; D006301:Health Services Needs and Demand; D006801:Humans; D008297:Male; D008484:Medicaid; D008605:Mental Health Services; D008875:Middle Aged; D009939:Organizations, Nonprofit; D017063:Outcome Assessment, Health Care / Q000379:methods; D017060:Patient Satisfaction; D010865:Pilot Projects; D015397:Program Evaluation; D014481:United States