BACKGROUND: Despite the growing popularity of disease management programs for chronic conditions, evidence regarding the effect of these programs has been mixed. In addition, few peer-reviewed studies have examined the effect of these programs on publicly insured populations. OBJECTIVES: To examine the effect of a telephone-based health coaching disease management program on healthcare utilization and expenditures in Medicaid members with chronic conditions. RESEARCH DESIGN: Using a difference-in-differences analysis, we examined changes in hospitalizations, emergency department (ED) visits, ambulatory care visits, and Medicaid expenditures among program members for 1 year before and 2 years after their enrollment compared with a matched comparison group. SUBJECTS: Medicaid members aged 18 to 64 with a diagnosis of qualifying chronic conditions and 2 acute health service events of hospitalizations and/or ED visits within a 12-month period. RESULTS: Changes in acute hospitalizations, ambulatory care visits, and Medicaid expenditures before and after program enrollment were similar between the 2 study groups. However, during the second year after enrollment, program members had a significantly smaller decrease in ED visits than the comparisons (8% in program members and 23% in comparisons, P value=0.03). CONCLUSIONS: Compared with a matched comparison group, the telephone-based health coaching disease management program did not demonstrate significant effects on healthcare utilization and expenditures in Medicaid members with chronic conditions.
BACKGROUND: Despite the growing popularity of disease management programs for chronic conditions, evidence regarding the effect of these programs has been mixed. In addition, few peer-reviewed studies have examined the effect of these programs on publicly insured populations. OBJECTIVES: To examine the effect of a telephone-based health coaching disease management program on healthcare utilization and expenditures in Medicaid members with chronic conditions. RESEARCH DESIGN: Using a difference-in-differences analysis, we examined changes in hospitalizations, emergency department (ED) visits, ambulatory care visits, and Medicaid expenditures among program members for 1 year before and 2 years after their enrollment compared with a matched comparison group. SUBJECTS: Medicaid members aged 18 to 64 with a diagnosis of qualifying chronic conditions and 2 acute health service events of hospitalizations and/or ED visits within a 12-month period. RESULTS: Changes in acute hospitalizations, ambulatory care visits, and Medicaid expenditures before and after program enrollment were similar between the 2 study groups. However, during the second year after enrollment, program members had a significantly smaller decrease in ED visits than the comparisons (8% in program members and 23% in comparisons, P value=0.03). CONCLUSIONS: Compared with a matched comparison group, the telephone-based health coaching disease management program did not demonstrate significant effects on healthcare utilization and expenditures in Medicaid members with chronic conditions.
Authors: Shannon M E Murphy; Douglas E Hough; Martha L Sylvia; Linda J Dunbar; Kevin D Frick Journal: Health Serv Res Date: 2018-02-08 Impact factor: 3.402
Authors: Lianne Jeffs; Madelyn P Law; Sharon Straus; Roberta Cardoso; Renee F Lyons; Chaim Bell Journal: BMJ Qual Saf Date: 2013-07-12 Impact factor: 7.035
Authors: Martin Härter; Jörg Dirmaier; Sarah Dwinger; Levente Kriston; Lutz Herbarth; Elisabeth Siegmund-Schultze; Isaac Bermejo; Herbert Matschinger; Dirk Heider; Hans-Helmut König Journal: PLoS One Date: 2016-09-15 Impact factor: 3.240
Authors: Ronald Gimbel; Lu Shi; Joel E Williams; Cheryl J Dye; Liwei Chen; Paul Crawford; Eric A Shry; Sarah F Griffin; Karyn O Jones; Windsor W Sherrill; Khoa Truong; Jeanette R Little; Karen W Edwards; Marie Hing; Jennie B Moss Journal: JMIR Res Protoc Date: 2017-03-06