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OpenTrials
Completed

NCT Number: NCT00793260

Deep Dive Randomized Control Trial

Compare two care management support program models on medical costs and utilization.

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Key information

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • All employees, dependents and retirees in one of seven large employer groups, including a state university system, a state employee group, two manufacturing companies, a natural resource extraction company, a public educational service agency, and a nonprofit multiple employer association for independent colleges were eligible for inclusion.

Exclusion criteria

  • no financial information was available from their facility and professional claims;
  • they were in an employer sub-group ineligible for care support services;
  • they asked not be to contacted or were deceased;
  • gender information was missing from their eligibility files;
  • their claims data from the year prior to the start of the study indicated diagnoses of HIV, AIDS, end-stage renal disease (ESRD), organ transplants, or necrotizing fasciitis (intended to improve the likelihood of a balanced distribution of costs and conditions); OR
  • they were in an employer sub-group with less than four months of enrollment prior to the study start date (resulting in too little information for stratification).

Treatment and study plan

Enhanced support

Behavioral

The Enhanced-Support Group program used lower risk thresholds for targeted outreach of individuals with chronic illness and for those likely to face discrete surgical interventions. Individuals at high financial risk but without one of the five chronic conditions were included in the Enhanced-Support Group.

The Enhanced-Support Group received up to five initial reach attempts while the Usual-Support Group received up to three attempts.

The Enhanced-Support Group used a 'tight loop' management structure including detailed, timely coach level feedback reports on efficiency and effectiveness.

Usual-Support

Behavioral

Predictive models in the Usual-Support Group were aimed at identifying individuals through medical claims and administrative data (such as hospitalization notification). The output of the predictive models is a rank-ordered, or stratified, list of individuals who have support needs. These lists were then used to generate outbound mail, interactive voice response (IVR) calls or calls by health coaches.

Primary outcomes

  1. The primary outcome measure was total medical costs (capped at $200,000 per individual per year) and pharmacy costs.

Secondary outcomes

  1. Secondary measures included utilization of selected services.

Sponsors and collaborators

Lead sponsor

Health Dialog

Industry

Collaborators

  • Health Net California
  • Highmark Blue Cross Blue Shield

Registry information

Important dates

Study start
2006
Primary completion
2007
Study completion
2008
First posted
Nov 19, 2008
Registry last updated
Nov 19, 2008

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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