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The Effects of Case Management in a Medicaid Managed Care Plan

18 Years
Open (Enrolling)
Neoplasms, Heart Diseases, Adrenal Cortex Diseases

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Trial Information

The Effects of Case Management in a Medicaid Managed Care Plan

This study will assign participants based on Zip Code to one of two conditions: control and
experimental. In the control group, participants will receive telephonic assessments at
baseline, three months, and six months. These assessments will be conducted by a member of
the Medical Center’s Department of Geriatrics under the supervision of the Principal
Investigator. Participants in the experimental group will receive medical case management
provided by a nurse and social worker in the homecare setting including an in-home
assessment. Assessments will be conducted at baseline, three months, and six months during
routine homecare visits. Dependent variables being measured include: access to primary care
physicians, emergent hospitalizations/admissions, articulation of advance directives, and
quality of life. Data will be collected through the participants’ medical claims and records
to analyze the number of emergent hospitalizations/admissions, documentation of advance
directives, and number of visits to primary care physicians. To measure participants’
quality of life, the Depression Self-Rating Scale and the Clinical Anxiety Scale will be
utilized. Data will be compared between and within the groups via statistical analyses. The
researcher will conduct pre-post comparisons of utilization and other database-derived
outcomes for both groups, comparing the 12 months prior to and up to 20 months following

Inclusion Criteria:

- participation in a Medicaid managed care plan

- resident of identified zip codes in Brooklyn, NY

- frequent hospitalizations and low frequency of primary doctor visits

Exclusion Criteria:

- residents outside the catchment area

- patients not being managed in a Medicaid managed care plan

Type of Study:


Study Design:

Allocation: Non-Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Crossover Assignment, Masking: Open Label, Primary Purpose: Supportive Care

Outcome Measure:

The outcome measure for the number of emergency room visits will be calculated from the medical record counting the number of hospital emergency room visits; for access to primary physicians, the medical record will be reviewed as well.

Principal Investigator

Barbara Paris, MD

Investigator Role:

Principal Investigator

Investigator Affiliation:

Maimonides Medical Center


United States: Institutional Review Board

Study ID:

Health Plus at Home



Start Date:

May 2006

Completion Date:

January 2008

Related Keywords:

  • Neoplasms
  • Heart Diseases
  • Adrenal Cortex Diseases
  • Adrenal Cortex Diseases
  • Neoplasms
  • Heart Diseases



Metropolitan Jewish Health System Brooklyn, New York  11220