ArticleJournal of general internal medicine2026
A Novel Intervention for Medicaid Beneficiaries with Complex Needs.
Article in Journal of general internal medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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.
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Who cites it
1 citing paper in PubMed.
- An Innovative Approach to Enhanced Care Management for High-Need Pediatric Medicaid Members: Retrospective Cohort Study.JMIR pediatrics and parenting · 2026Article
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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCase management interventions may improve outcomes for patients with complex medical and social needs, though previous research has shown mixed results. Enhanced Care Management (ECM), a central element of the California Advancing and Innovating Medi-Cal (CalAIM) initiative, aims to deliver an intensive case management solution for high-needs Medi-Cal (California's Medicaid program) members.
objectiveTo evaluate a novel intervention that combines ECM, telemedicine, and integrated social care delivery from community-based organizations.
designRetrospective cohort study.
participantsAdult, ECM-eligible Medi-Cal members.
interventionEnrollment with Pair Team, a California-based medical group and ECM provider that combines ECM, telemedicine, and integrated social care delivery from community-based organizations. MAIN MEASURES: Engagement with program and healthcare, program implementation metrics, and mental health outcomes. Pre-post analyses compared data from the year post enrollment versus year prior. KEY
resultsThe study included 568 patients (395 [69.5%] female; average age 42.8 years). Patients averaged 3.3 program interactions per month over one year of enrollment; 17.8% of interactions were with an RN or NP. Patients engaged with Pair Team within 30 days of discharge from an ED or inpatient visit in 94.3% of visits. Post-enrollment, 300 (52.7%) patients had an HbA1c lab record (127 [22.3%] pre-enrollment, p < 0.001) and 465 (81.7%) had a blood pressure reading (423 [74.3%] pre-enrollment, p = 0.003). Post-enrollment, there was a 21% increase in outpatient visits (RR = 1.21, 95% CI 1.13-1.29), a 52% reduction in ED visits (RR = 0.48, 95% CI 0.42-0.55) and a 26% reduction in inpatient visits (RR = 0.74, 95% CI 0.55-0.99). PHQ-9 decreased by 4.0 points (p < 0.001) between intake and follow-up.
conclusionsStudy participants receiving ECM services were highly engaged with the program and in their healthcare, and experienced reductions in acute care utilization and depressive symptoms. This highlights the Pair model's potential in improving care for patients with complex needs.
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