Colorado access' enhanced care management for high-cost, high-need Medicaid members: preliminary outcomes and lessons learned

J Ambul Care Manage. 2011 Apr-Jun;34(2):183-91. doi: 10.1097/JAC.0b013e31820f64be.


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.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Colorado
  • Delivery of Health Care, Integrated* / economics
  • Delivery of Health Care, Integrated* / organization & administration
  • Delivery of Health Care, Integrated* / statistics & numerical data
  • Female
  • Health Care Costs
  • Health Services Needs and Demand*
  • Humans
  • Male
  • Medicaid*
  • Mental Health Services
  • Middle Aged
  • Organizations, Nonprofit
  • Outcome Assessment, Health Care* / methods
  • Patient Satisfaction
  • Pilot Projects
  • Program Evaluation
  • United States