Official Title: Evaluation of an Intensive Care Coordination Program to Reduce Use of Hospital Emergency Department Services by Wisconsin Medicaid Members
Status: ACTIVE_NOT_RECRUITING
Status Verified Date: 2024-04
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: False
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: None
Brief Summary: The State of Wisconsin is now expanding its investment in care coordination models as an effort to reduce inappropriate hospital emergency department ED use improve health outcomes and reduce Medicaid expenditures This effort begins with a pilot program to support emergency department care coordination in hospitals and health systems that apply and are selected to participate in the pilot program
The Wisconsin Medicaid program seeks to understand whether this program achieves its intended goals and specifically whether the Medicaid payment for such care coordination services produces the intended program outcomes Hospitals will select members that will receive care coordination services In a quasi-experimental approach the study team will compare members that do vs do not receive the services will be used examine the effects of care coordination and referrals on total ED visits primary-care treatable ED visits non-emergent ED visits and health care costs as well as the specific effects of referring patients to providers who offer low-cost and after-hours care To assess the importance of targeting study team will conduct stratified analyses of vulnerable groups such as people with disabilities and individuals with specific clinical needs