The effect of case management on the costs of health care for enrollees in Medicare Plus Choice Plans: A randomized trial

C. Boult, J. Rassen, A. Rassen, R. J. Moore, S. Robison

Research output: Contribution to journalArticlepeer-review

Abstract

OBJECTIVE: To measure the effects of case management on an older population's costs of health care. DESIGN: A 1-year randomized controlled trial. SETTING: Multiple sites of care in San Francisco, California. PARTICIPANTS: Patients aged 65 or older of primary care physicians in a large provider organization bearing financial risk for their care (n = 6409). INTERVENTION: Screening for high risk and provision of social work-based case management. OUTCOME MEASURES: Volume and cost of hospital, physician, case management, and other health-related services. RESULTS: The experimental group used more case management services than the control group (0.09 vs 0.02 months per person, P < .001). The experimental group's average total payments for health care were slightly lower ($3148 vs $3277, P = .40). CONCLUSIONS: This study provides no statistically significant evidence that social work-oriented case management reduces the use or the cost of health care for high-risk older people. Other potentially favorable effects of this type of case management need to be evaluated, as do the effects of other types of case management.

Original languageEnglish (US)
Pages (from-to)996-1001
Number of pages6
JournalJournal of the American Geriatrics Society
Volume48
Issue number8
StatePublished - Aug 31 2000

Keywords

  • Aged
  • Case management
  • Health services research
  • Randomized trial
  • Screening

ASJC Scopus subject areas

  • Geriatrics and Gerontology

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