Evidence map›Paper›PMID 37071688›Full record

ArticlePopulation health management2023

Differential Impact of a Plan-Led Standardized Complex Care Management Intervention on Subgroups of High-Cost High-Need Medicaid Patients.

Jacob K Quinton, Nicholas Jackson, Carol M Mangione, Tannaz Moin, Arseniy Vasilyev, Donna L O'Shea, O Kenrik Duru

Abstract read
In one paragraph

Article in Population health management, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Jacob K QuintonDepartment of Medicine, Division of General Internal Medicine and Health Services Research, University of California, Los Angeles, Los Angeles, California, USA.
Nicholas JacksonDepartment of Medicine, Division of General Internal Medicine and Health Services Research, University of California, Los Angeles, Los Angeles, California, USA.
Carol M MangioneDepartment of Medicine, Division of General Internal Medicine and Health Services Research, University of California, Los Angeles, Los Angeles, California, USA.
Tannaz MoinDepartment of Medicine, Division of General Internal Medicine and Health Services Research, University of California, Los Angeles, Los Angeles, California, USA.
Arseniy VasilyevDepartment of Medicine, Division of General Internal Medicine and Health Services Research, University of California, Los Angeles, Los Angeles, California, USA.
Donna L O'SheaUnitedHealth Group, Minnetonka, Minnesota, USA.
O Kenrik DuruDepartment of Medicine, Division of General Internal Medicine and Health Services Research, University of California, Los Angeles, Los Angeles, California, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Interventions to better coordinate care for high-need high-cost (HNHC) Medicaid patients frequently fail to demonstrate changes in hospitalizations or emergency department (ED) use. Many of these interventions are modeled after practice-level complex care management (CCM) programs. The authors hypothesized that a national CCM program may be effective for some subgroups of HNHC patients, and the overall null effect may obfuscate subgroup-level impact. They used a previously published typology defining 6 subgroups of high-cost Medicaid patients and evaluated program impact by subgroup. The analysis used an individual-level interrupted time series with a comparison group. Intervention subjects were high-cost adult Medicaid patients who enrolled in 1 of 2 national CCM programs implemented by UnitedHealthcare (UHC) (

Indexed as

MedicaidState Health PlansAdultEmergency Service, HospitalHospitalizationHumansProgram EvaluationUnited Statescomplex care managementhigh-cost high-needmachine learningmanaged careMedicaid

Identifiers

PMID37071688
PMCPMC10125392

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.