Appointment Based Model (ABM) for Accountable Care Organization (ACO) Beneficiaries
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 595
- 试验地点
- 4
- 主要终点
- Medical costs
研究概览
简要总结
The primary objective of the study is to evaluate how engaging ACO beneficiaries in the appointment based model for one year impacts medication adherence and healthcare costs compared to usual care.
详细描述
The American Pharmacists Association (APhA) Foundation has partnered with a federally qualified health center (FQHC), a supermarket community pharmacy, and an accountable care organization (ACO) to participate in this ABM for ACO Beneficiaries initiative. The FQHC, El Rio Community Health Center pharmacy, and supermarket pharmacy, Fry's Pharmacy, will serve as implementing pharmacy study sites and will implement the ABM for beneficiaries of the ACO who utilize their pharmacies for medication refill services. The ABM involves synchronizing all medications to come due on the same day of the month and the individual receives a pre-appointment phone call from the pharmacy staff to review medications and identify any changes. The ACO will provide medical and claims data on enrolled subjects as well as a control group for the intervention population. The APhA Foundation will aggregate intervention, prescription fill, and economic data from the 3 partners in an effort to evaluate the impact of the ABM on healthcare costs and medication adherence. The APhA Foundation has an a priori intent to publish the project results.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Individuals eligible to be enrolled in the study include those who:
- •Are beneficiaries of the partnering ACO;
- •Are receiving medical care at El Rio and have been since before May 1, 2013;
- •Are taking 2 or more medications that are refilled on 30, 60, or 90 day schedules;
- •Speak English or Spanish;
- •Are at least 18 years of age; and
- •Are not institutionalized (i.e., residents of nursing homes, psychiatric institutions, or prisons).
排除标准
- •Use of a legal authorized representative
结局指标
主要结局
Medical costs
时间窗: Baseline (for the 1 year prior to the enrollment date), During the Patient Care period (approx. 1 year following enrollment)
Total medical costs will be collected at baseline for the year prior to enrollment and at the end of the one-year study period for the intervention year.
Pharmacy costs
时间窗: Baseline (at the time of enrollment), During the Patient Care period (approx. 1 year after enrollment)
Pharmacy costs will be collected at baseline for the year prior to enrollment and at the end of the one-year study period for the intervention year.
Medication adherence
时间窗: At baseline for the one year prior to enrollment, During the 1 year patient care period
Proportion of days covered will be calculated to determine medication adherence. Data will be collected on a quarterly basis (every 3 months beginning at enrollment).
次要结局
- Identified Medication Related Problems(During the Patient Care period (1 year from enrollment))