Connecting Low-Income Adults to Primary Care After Inpatient Discharge

Status Active, not recruiting

Clinical Trial Summary

Healthcare systems and insurers have tried to reduce costs by improving the care and coordination provided to patients with high healthcare spending. Often termed, "hotspotting", these interventions seek to lower costs by reducing care provided in fragmented, high-cost settings, including the emergency department and inpatient settings, by addressing the social determinants of health and improving patients' access to lower-cost, ambulatory settings. Vanderbilt University Medical Center (VUMC), in collaboration with Tennessee's Medicaid agency (TennCare), is piloting a program to reduce costs and improve the quality of care provided to high-risk TennCare enrollees by referring them from inpatient settings to VUMC primary care services. This study seeks to evaluate this pilot by comparing outcomes between Medicaid patients referred to VUMC primary care services and similar Medicaid patients not referred to VUMC primary care services using data from surveys and administrative sources, including electronic health records and health insurance claims.

Clinical Trial Description

n/a

Study Design

Related Conditions & MeSH terms

Clinical Trial Details

NCT number	NCT05567224
Study type	Observational
Source	Vanderbilt University Medical Center
Contact
Status	Active, not recruiting
Phase
Start date	December 15, 2022
Completion date	October 1, 2026

View Details

See also
Status	Clinical Trial	Phase
Recruiting	`NCT05596474` - Effect of Beet-root Juice and PBM Treatments on Muscle Fatigue	N/A
Recruiting	`NCT05778578` - Universal Basic Income and Structural Racism in the US South	N/A
Not yet recruiting	`NCT05558332` - Youth Nominated Support Team	N/A
Completed	`NCT02451059` - Reducing Socioeconomic Disparities in Health at Pediatric Visits	N/A
Completed	`NCT05082935` - COVID-19: Healthy Oregon (Oregon Saludable): Together We Can (Juntos Podemos) Phase II	N/A
Recruiting	`NCT05454969` - One-4-ALL Initiative	N/A
Enrolling by invitation	`NCT05045222` - Economic and Clinical Outcomes of (Whole Exome) Sequencing in Tapestry
Completed	`NCT04587063` - Evaluation of Emails Promoting Mail-order Pharmacy	N/A
Recruiting	`NCT05541913` - The Effect of Tele-Nursing on Parents of Circumcised Children	N/A
Completed	`NCT05117333` - Reminders, Cost Sharing, and Healthcare Use	N/A
Recruiting	`NCT04835012` - Health and Health Care Utilization Effects of Medical Debt Forgiveness
Completed	`NCT04567342` - Effect of Varied Outreach Methods on Appointment Scheduling, Appointment Completion, and Receipt of MMR Vaccination	N/A
Withdrawn	`NCT05552638` - Telecare in Rural Senior Centers	N/A
Enrolling by invitation	`NCT04250103` - Home-based Longitudinal Investigation of the Multidisciplinary Team Integrated Care
Completed	`NCT04240093` - CoMBAT Opioid Use Disorder: A Combined Medication and Behavioral Activation Treatment for People Living With Opioid Use Disorder	N/A
Active, not recruiting	`NCT03724695` - Advanced Heart Care at Home	N/A
Completed	`NCT04517578` - European Neuromuscular Monitoring Survey
Active, not recruiting	`NCT05609188` - Black Economic Equity Movement	N/A
Completed	`NCT04373135` - Understanding Community Considerations, Opinions, Values, Impacts, and Decisions for COVID-19	N/A
Recruiting	`NCT05324566` - Evaluation of ECG Transmission and AI Models Using Apple Watch ECGs and Symptoms Data Collected Using a Mayo iPhone App