Retrospective Data Analysis of VitalCare Targeted Population Management on Scott and White Chronically Ill Beneficiaries

N/ACompletedNCT01912430

Scott & White Health Plan17,559 enrolled

Overview

New payment methods such as Accountable Care Organization (ACO's) and medical homes facilitate are new models for providers to deliver cost effective, quality patient outcomes. Integrated Care Coaching (ICC) is a healthcare delivery model combining telephonic interventions with an intelligent information technology platform that offered validated protocols and patient outcomes tracking. Health Integrated, Inc. has developed a validated program of Integrated Care Coaching (ICC), which was branded as "VitalCare", and implemented with over 7,000 members of the Scott and White Health Plan in Texas, would reduce healthcare costs/achieve a return on investment (ROI), improve clinical outcomes, and be satisfying for participants.

A prospective, pre-post historical control design trial with a concurrent control group cost/satisfaction analysis with a retrospective clinical study was undertaken with adult, Scott and White Health Plan (SWHP) patients with chronic illnesses. From 2007 to 2010, a total of 7,411 ICC and 10,148 control patients participated. Variables were costs, return on investment (ROI), iterative Patient Health Questionnaire (PHQ)9 scores, and satisfaction.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Enrollment

17,559

Conditions

Chronic Illness

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * 18 years or older * Having one or more of 21 chronic conditions, including those with depression and multiple chronic comorbidities. Exclusion Criteria: * Presence of Major Cancer, HIV, or ESRD in either the baseline or measurement periods * Claims in excess of $100,000 in either baseline or intervention period. * Claims for long term care or hospice in either baseline or intervention period.

Outcomes

Primary Outcomes

Return of Investment and Cost of Medical Care

Primary outcomes were ROI and cost of medical care (including inpatient, outpatient, emergency room, office and other (ie, physical therapy). ICC participants and control group members had a minimum of 6 months to a maximum of 12 months measurement period.

Time frame: 6 to 12 months

Secondary Outcomes

Level of Depressive Symptoms per Interactive Patient Health Questionnaire (PHQ-9) scores

Secondary outcome was level of depressive symptoms per Interactive Patient Health Questionnaire (PHQ-9) scores. ICC participants and control group members had a minimum of 6 months to a maximum of 12 months measurement period.