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Randomized Controlled Trial
. 2008 Fall;30(1):5-25.

15-site randomized trial of coordinated care in Medicare FFS

Randall Brown  1 , Deborah Peikes, Arnold Chen, Jennifer Schore
Affiliations
Randomized Controlled Trial

15-site randomized trial of coordinated care in Medicare FFS

Randall Brown et al. Health Care Financ Rev. 2008 Fall.

Abstract

Medicare beneficiaries in fee-for-service (FFS) who had chronic illnesses and volunteered to participate in 15 care coordination programs were randomized to treatment or control status. Nurses provided patient education (mostly by telephone) to improve adherence and ability to communicate with physicians. Patients were contacted an average of two times per month. The findings after 2 years are not encouraging. Few programs improved patient behaviors, health, or quality of care. The treatment group had significantly fewer hospitalizations in only one program; no program reduced gross or net expenditures. However, effects may be observed when 4 years of followup are available and sample sizes increase.

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Figure 1
Figure 1. Treatment-Control Differences on Quality of Care Among First Year Enrollees in the Medicare Coordinated Care Demonstration
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