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Med Care. 2012 Jan;50(1):91-8. doi: 10.1097/MLR.0b013e31822dcedf.

The effect of a telephone-based health coaching disease management program on Medicaid members with chronic conditions.

Author information

1
Center for Health Policy and Research, University of Massachusetts Medical School, Shrewsbury, MA 01545, USA. wen.lin@umassmed.edu

Abstract

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.

PMID:
21993059
DOI:
10.1097/MLR.0b013e31822dcedf
[Indexed for MEDLINE]
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