Clinical trial · Interventional
Evaluation of Programs of Coordinated Care and Disease Management
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
This is a Congressionally mandated study. In the original study, 16 demonstration programs provided care coordination services to beneficiaries with chronic illness in Medicare's fee-for-service program. A five-year CMS-funded study tested whether the programs can improve patients' use of medical services, improve patients' outcomes and satisfaction with care, and reduce Medicare costs. The study also assessed physicians' satisfaction with the programs. In 2008 Congress extended the project for two of the original programs--Mercy Medical Center - North Iowa and Health Quality Partners in Pennsylvania--and they will enroll Medicare beneficiaries and provide care coordination services into the spring of 2010.
Conditions
Conditions (9)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Alzheimer's Disease | — | UNRESOLVED | — |
| Cancer | Malignant Neoplasm | ALIAS | 0.90 |
| Cerebrovascular Disease | — | UNRESOLVED | — |
| Chronic Obstructive Pulmonary Disease | — | UNRESOLVED | — |
| Congestive Heart Failure | — | UNRESOLVED | — |
| Coronary Artery Disease | — | UNRESOLVED | — |
| Diabetes | — | UNRESOLVED | — |
| Major Depression | — | UNRESOLVED | — |
| Psychotic Disorder | — | UNRESOLVED |
Interventions
Interventions (1)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| Care Coordination | Behavioral | — | UNRESOLVED |
Design
Arms and outcomes
Arms (2)
- type
- EXPERIMENTAL
- label
- Intervention
- description
- Care coordination, consisting variously (depending on the demonstration site)--nurse telephonic counseling, nurse in-person home visits, home telemonitoring equipment, and physician education and feedback.
- interventionNames
- Behavioral: Care Coordination
- type
- NO_INTERVENTION
- label
- Control
- description
- Usual care in Medicare fee-for-service from beneficiaries' physicians and other health care providers
Primary outcomes (1)
- measure
- Medicare program expenditures
- timeFrame
- Eight years
Secondary outcomes (1)
Eligibility
Eligibility (as posted)
- Sex
- All
Show eligibility criteria text
Inclusion Criteria: * Meets clinical and prior health service use criteria of each of the 16 demonstration sites (vary across demonstration programs) * Resides in catchment area of one of the programs * Enrolled in Medicare fee-for-service program * Coverage by both Medicare Parts A and B * Medicare is primary payer Exclusion Criteria: * Does not meet any of the relevant program's exclusion criteria (vary across demonstration programs) * Not enrolled in a Medicare Advantage plan (Medicare managed care program)
References
Publications (1)
- DERIVEDPeikes D, Chen A, Schore J, Brown R. Effects of care coordination on hospitalization, quality of care, and health care expenditures among Medicare beneficiaries: 15 randomized trials. JAMA. 2009 Feb 11;301(6):603-18. doi: 10.1001/jama.2009.126. PMID 19211468