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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT00793260
Other study ID # DeepDive
Secondary ID
Status Completed
Phase N/A
First received November 17, 2008
Last updated November 18, 2008
Start date July 2006
Est. completion date May 2008

Study information

Verified date November 2008
Source Health Dialog
Contact n/a
Is FDA regulated No
Health authority United States: Institutional Review Board
Study type Interventional

Clinical Trial Summary

Compare two care management support program models on medical costs and utilization.


Recruitment information / eligibility

Status Completed
Enrollment 174120
Est. completion date May 2008
Est. primary completion date June 2007
Accepts healthy volunteers Accepts Healthy Volunteers
Gender Both
Age group N/A and older
Eligibility Inclusion Criteria:

- All employees, dependents and retirees in one of seven large employer groups, including a state university system, a state employee group, two manufacturing companies, a natural resource extraction company, a public educational service agency, and a nonprofit multiple employer association for independent colleges were eligible for inclusion.

Exclusion Criteria:

- no financial information was available from their facility and professional claims;

- they were in an employer sub-group ineligible for care support services;

- they asked not be to contacted or were deceased;

- gender information was missing from their eligibility files;

- their claims data from the year prior to the start of the study indicated diagnoses of HIV, AIDS, end-stage renal disease (ESRD), organ transplants, or necrotizing fasciitis (intended to improve the likelihood of a balanced distribution of costs and conditions); OR

- they were in an employer sub-group with less than four months of enrollment prior to the study start date (resulting in too little information for stratification).

Study Design

Allocation: Randomized, Intervention Model: Parallel Assignment, Masking: Single Blind (Subject)


Intervention

Behavioral:
Enhanced Support
The Enhanced-Support Group program used lower risk thresholds for targeted outreach of individuals with chronic illness and for those likely to face discrete surgical interventions. Individuals at high financial risk but without one of the five chronic conditions were included in the Enhanced-Support Group. The Enhanced-Support Group received up to five initial reach attempts while the Usual-Support Group received up to three attempts. The Enhanced-Support Group used a 'tight loop' management structure including detailed, timely coach level feedback reports on efficiency and effectiveness.
Usual-Support
Predictive models in the Usual-Support Group were aimed at identifying individuals through medical claims and administrative data (such as hospitalization notification). The output of the predictive models is a rank-ordered, or stratified, list of individuals who have support needs. These lists were then used to generate outbound mail, interactive voice response (IVR) calls or calls by health coaches.

Locations

Country Name City State
United States Health Dialog Analytic Solutions, Inc Portland Maine

Sponsors (3)

Lead Sponsor Collaborator
Health Dialog Health Net California, Highmark Blue Cross Blue Shield

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary The primary outcome measure was total medical costs (capped at $200,000 per individual per year) and pharmacy costs. No
Secondary Secondary measures included utilization of selected services. No
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