The Foundation's program, Chronic Care Initiatives in HMOs, was designed to identify, nurture, and evaluate innovations in the delivery of services to chronically ill patients in prepaid managed care organizations.In this project, an independent evaluation will be conducted of a "care advisory" model of managed care for Medicare beneficiaries enrolled in Medical Health Plan, a mixed model HMO. The care advisor (either a registered nurse or social worker who manages and coordinates care for moderate and high-risk members or acts as a central resource or liaison for low-risk members) is assigned to each patient upon enrollment. The study will compare outcomes of the care advisory IPA model to a gatekeeper staff model in clinics with no case management occurring. Selected measures of health status, satisfaction, utilization, and expenditures will be compared across the two models over a three-year period.
Amount Awarded $530,371.00
Awarded on: 1/19/1996
Time frame: 2/1/1996 - 1/31/2002
Grant Number: 28824