Why the study?
Does a telephone care-management intervention reduce costly medical service utilization in high-risk Medicare HMO enrollees aged 65 and older?
Population
823 patients aged 65 and older, high-risk Medicare HMO health plan enrollees targeted for high use of…
Comparison
Telephone care-management intervention offering… vs Control group (standard care).
Design
RCT, Randomized
Follow-up
Three 12-month periods (pre-, during, and postintervention)
Authors
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Supports telephone care-management adoption in high-risk older Medicare patients; extends RCT evidence for care coordination reducing costly utilization.
Does a telephone care-management intervention reduce costly medical service utilization in high-risk Medicare HMO enrollees aged 65 and older?
A telephone care-management intervention linking older adults to home- and community-based services significantly increased primary care use and stabilized hospital admissions and days.
Shannon et al. (2006) studied this question.