Evaluation of MA Proactive Care Program Using Cost Prediction Model With Randomized Waitlist
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 4,962
- 试验地点
- 1
- 主要终点
- Days alive and out of hospital (DAOH) at 120 days from randomization
研究概览
简要总结
Currently, UCLA Health (specifically the Office of Population Health and Accountable Care, or OPHAC) runs a complex care management program called Proactive Care (goal is to reduce care utilization by providing personalized care navigation/case management). Every month, an AI Population Risk tool runs to identify around 250 of the 480,000 or so UCLA primary care patients, and RNs contact these 250 patients to enroll in Proactive Care. Starting in December 2024, OPHAC launched a new method of enrolling UCLA's Medicare Advantage (MA) patients into Proactive Care: an AI Cost Prediction model. The idea is the same-- the top 250 highest predicted cost patients will be enrolled in Proactive Care. The investigators will evaluate this model and subsequent enrollment into the program by randomizing the waitlist of MA patients waiting to enroll in Proactive Care, thereby creating a control group. The top 500 highest predicted cost patients will be identified each month, and following a 1:1 randomization, 250 will be contacted for enrollment and the rest will be put on a wait-list control group for 10 months unless otherwise requested by their provider to be enrolled in the Proactive Care program earlier.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- Double (Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •At least 18 years of age
- •Enrolled in a UCLA Managed Care Plan
- •Cost prediction model identifies patient as having high predicted costs over the next 12 months
排除标准
- •Currently enrolled in any UCLA care management program
- •Enrolled in any UCLA care management program in the last 12 months
- •Already has an active referral to a care management program
研究组 & 干预措施
Care as usual
Patient randomized to be put on a waitlist for being contacted for enrollment into ProActive Care (ie, not enrolled in ProActive Care).
Complex Care Management
Patients randomized to be contacted for enrollment into the complex care management program called ProActive Care.
干预措施: Complex care management program (Behavioral)
结局指标
主要结局
Days alive and out of hospital (DAOH) at 120 days from randomization
时间窗: 120 days after randomization
The sum of the number of days that a patient is not hospitalized under inpatient or observation status, and alive, out of a maximum of 120 days post-randomization.
次要结局
- Days alive and out of hospital (DAOH) at 30 days from randomization(30 days after randomization)
- Days alive and out of hospital (DAOH) at 90 days from randomization(90 days after randomization)
- Days alive and out of hospital (DAOH) at 10 months from randomization(10 months post-randomization)
- Total healthcare expenditures at 10 months from randomization(10 months post-randomization)
- All-cause hospitalizations at 10 months from randomization(10 months post-randomization)
- All-cause emergency department visits at 10 months from randomization(10 months post-randomization)
- All-cause mortality at 10 months from randomization(10 months post-randomization)
- Ambulator contact days(10 months post-randomization)
研究者
Richard K. Leuchter, MD
Assistant Professor
University of California, Los Angeles