title: Telephone care management's effectiveness in coordinating care for Medicaid beneficiaries in managed care: a randomized controlled study.
abstract: OBJECTIVE
  To test the effectiveness of a telephone care management intervention to increase the use of primary and preventive care, reduce hospital admissions, and reduce emergency department visits for Medicaid beneficiaries with disabilities in a managed care setting.
  
  
  METHODS
  Four years (2007-2011) of Medicaid claims data on blind and/or disabled beneficiaries, aged 20-64.
  
  
  METHODS
  Randomized control trial with an intervention group (n = 3,540) that was enrolled in managed care with telephone care management and a control group (n = 1,524) who remained in fee-for-service system without care management services. Multi-disciplinary care coordination teams provided telephone services to the intervention group to address patients' medical and social needs.
  
  
  METHODS
  Medicaid claims and encounter data for all participants were obtained from the state and the managed care organization.
  
  
  RESULTS
  There was no significant difference in use of primary care, specialist visits, hospital admissions, and emergency department between the intervention and the control group. Care managers experienced challenges in keeping members engaged in the intervention and maintaining contact by telephone.
  
  
  CONCLUSIONS
  The lack of success for Medicaid beneficiaries, along with other recent studies, suggests that more intensive and more targeted interventions may be more effective for the high-needs population.
authors.affiliation: University of California, Berkeley, 50 University Hall, MC#7360, Berkeley, CA, 94720.
authors.forename: Sue E
authors.initials: SE
authors.lastname: Kim
authors.forename: Charles
authors.initials: C
authors.lastname: Michalopoulos
authors.forename: Richard M
authors.initials: RM
authors.lastname: Kwong
authors.forename: Anne
authors.initials: A
authors.lastname: Warren
authors.forename: Michelle S
authors.initials: MS
authors.lastname: Manno
mesh_terms: D000328:Adult; D019090:Case Management / Q000458:organization & administration*; D003120:Colorado; D005260:Female; D006801:Humans; D008297:Male; D008329:Managed Care Programs / Q000458:organization & administration*; D008484:Medicaid / Q000458:organization & administration*; D008875:Middle Aged; D013689:Telephone; D014481:United States
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