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document
The effect of case management on the costs of health care for enrollees in Medicare Plus Choice plans : a randomized trial . OBJECTIVE To measure the effects of case management on an older population 's costs of health care . DESIGN A 1-year randomized controlled trial . SETTING Multiple sites of care in San Francisco , California . PARTICIPANTS Patients aged 65 or older of primary care physicians in a large provider organization bearing financial risk for their care ( n = 6409 ) . INTERVENTION Screening for high risk and provision of social work-based case management . OUTCOME MEASURES Volume and cost of hospital , physician , case management , and other health-related services . RESULTS The experimental group used more case management services than the control group ( 0.09 vs. 0.02 months per person , P < .001 ) . The experimental group 's average total payments for health care were slightly lower ( $ 3148 vs $ 3277 , P = .40 ) . CONCLUSIONS This study provides no statistically significant evidence that social work-oriented case management reduces the use or the cost of health care for high-risk older people . Other potentially favorable effects of this type of case management need to be evaluated , as do the effects of other types of case management .
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Intervention_Educational
case management
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Intervention_Other
Screening for high risk and provision of
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Intervention_Educational
social work-based case management
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Intervention_Other
.
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Outcome_Other
costs of health care
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Outcome_Other
costs of health care
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Outcome_Other
Volume and cost of hospital , physician , case management , and other health-related services
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Outcome_Other
case management services
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Outcome_Other
total payments for health care
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Outcome_Other
cost of health care
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Participant_Age
older population 's
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Participant_Age
aged 65 or older
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Participant_Sample-size
6409