Center for Health Policy and Research (CHPR) Publications

Title

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

UMMS Affiliation

Center for Health Policy and Research; Department of Family Medicine and Community Health

Date

1-2012

Document Type

Article

Medical Subject Headings

Adolescent; Adult; Chronic Disease; *Disease Management; Emergency Service, Hospital; Female; Health Expenditures; Health Services; Hospitalization; Humans; Male; Medicaid; Middle Aged; *Telephone; United States; Young Adult

Disciplines

Community Health and Preventive Medicine | Health Services Research | Public Health

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.

Rights and Permissions

Citation: Med Care. 2012 Jan;50(1):91-8. doi: 10.1097/MLR.0b013e31822dcedf. Link to article on publisher's site

Related Resources

Link to Article in PubMed