Ignite Creation Date:
2024-05-05 @ 5:08 PM
Last Modification Date:
2024-10-26 @ 9:28 AM
Study NCT ID:
NCT00399373
Status:
TERMINATED
Last Update Posted:
2017-12-07
First Post:
2006-11-13
Brief Title:
Structuring the Integration of Care Management Services For Medicaid Enrollees Recipients With Chronic Illness Substance Abuse Problems and Possible Psychiatric Disorders
Sponsor:
Johns Hopkins University
Organization:
Johns Hopkins University
Study Overview
Official Title:
Structuring the Integration of Services For Medicaid Recipients With Chronic Illness Substance Abuse Problems and Possible Psychiatric Disorders
Status:
TERMINATED
Status Verified Date:
2017-12
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 study seeks to measure the effect of increased coordination of care on medical costs treatment utilization and selected clinical indicators among a Medicaid population with chronic medical conditions and substance abuse problems We shall address this question by conducting a demonstration project consisting of the provision of integrated care management somatic and behavioral to Medicaid enrollees living on the Eastern Shore of Maryland and who have both chronic medical conditions and problems with substance abuse A specific component of the study will be the participation of Marylands Mental Health Administration MHA and MAPS the administrator of psychiatric services for the Medicaid enrollees in Maryland We shall compare the results of the integrated care management for the study sample on the Eastern Shore with a control group from the counties of western Maryland
Detailed Description:
Problem in context In an environment of increased competition for governmental funding Medicaid programs in every state are bracing for decreased resources being available for the care of their enrollees A possible result of less funding is reduced quality of healthcare In response to this threat The Center for Health Care Strategies Inc CHCS a non-profit organization dedicated to improving the quality of publicly financed health care issued an RFP for participation in a multisite project to expand or enhance existing efforts to improve the way care for Medicaid enrollees with multiple chronic conditions is delivered integrated measured and financed
Present knowledge While there is strong documentation of improved population health status with care management the evidence for the immediate economic effects of care management initiatives is mixed for commercial and absent for Medicaid populations CHCS is presently conducting a multisite study in which we participate of whether or not a business case return on investment can be made for quality improvement initiatives in a Medicaid population
Research question What is the effect of increased coordination of care on medical costs treatment utilization and selected clinical indicators among a Medicaid population with chronic medical conditions and substance abuse problems We shall address this question by conducting a demonstration project consisting of the provision of integrated care management somatic and behavioral to Medicaid enrollees living on the Eastern Shore of Maryland and who have both chronic medical conditions and problems with substance abuse A specific component of the study will be the participation of Marylands Mental Health Administration MHA and MAPS the administrator of psychiatric services for the Medicaid enrollees in Maryland We shall compare the results of the integrated care management for the study sample on the Eastern Shore with a control group from the counties of western Maryland
The primary goal of the project will be to improve the coordination of medical substance abuse and mental health services for a group of Medicaid beneficiaries with chronic medical conditions We hypothesize that the recipients of integrated care management on the Eastern Shore will have lower total medical costs pharmacy inpatient and outpatient higher utilization of mental health and substance abuse services and lower use of emergency department services than those who received customary care in western Maryland
The secondary goal of this project will be to assist in the further development and piloting of information systems within MHA that will facilitate sharing of clinical information necessary for the coordination of behavioral mental health and substance abuse and medical care management between a Medicaid MCO JHHCs PPMCO and the mental health carve-out ASO MAPS-MD The outcome measurement for the secondary objective will be the extent to which an information system for coordination of care and population based queries has been established within MHA and is with proper oversight by MHA accessible to responsible entities
Significance The project targets a vulnerable population within Medicaid enrollees that are challenged when accessing care and are responsible for high total medical costs The results of the project should be helpful to other the MCOs in Marylands Health Partners as well as to states with similar Medicaid systems as they seek to provide integrated healthcare services to their populations
Present knowledge While there is strong documentation of improved population health status with care management the evidence for the immediate economic effects of care management initiatives is mixed for commercial and absent for Medicaid populations CHCS is presently conducting a multisite study in which we participate of whether or not a business case return on investment can be made for quality improvement initiatives in a Medicaid population
Research question What is the effect of increased coordination of care on medical costs treatment utilization and selected clinical indicators among a Medicaid population with chronic medical conditions and substance abuse problems We shall address this question by conducting a demonstration project consisting of the provision of integrated care management somatic and behavioral to Medicaid enrollees living on the Eastern Shore of Maryland and who have both chronic medical conditions and problems with substance abuse A specific component of the study will be the participation of Marylands Mental Health Administration MHA and MAPS the administrator of psychiatric services for the Medicaid enrollees in Maryland We shall compare the results of the integrated care management for the study sample on the Eastern Shore with a control group from the counties of western Maryland
The primary goal of the project will be to improve the coordination of medical substance abuse and mental health services for a group of Medicaid beneficiaries with chronic medical conditions We hypothesize that the recipients of integrated care management on the Eastern Shore will have lower total medical costs pharmacy inpatient and outpatient higher utilization of mental health and substance abuse services and lower use of emergency department services than those who received customary care in western Maryland
The secondary goal of this project will be to assist in the further development and piloting of information systems within MHA that will facilitate sharing of clinical information necessary for the coordination of behavioral mental health and substance abuse and medical care management between a Medicaid MCO JHHCs PPMCO and the mental health carve-out ASO MAPS-MD The outcome measurement for the secondary objective will be the extent to which an information system for coordination of care and population based queries has been established within MHA and is with proper oversight by MHA accessible to responsible entities
Significance The project targets a vulnerable population within Medicaid enrollees that are challenged when accessing care and are responsible for high total medical costs The results of the project should be helpful to other the MCOs in Marylands Health Partners as well as to states with similar Medicaid systems as they seek to provide integrated healthcare services to their populations
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| 100326 CHCS | None | None | None |