Examining Digital Health Care Delivery Models Through Medicaid Collaborative (MIC)

OSF Healthcare System

Status: Enrolling

Conditions: Hypertension; Diabetes Mellitus; Maternal Health

Treatments: Behavioral: digital health delivered multicomponent intervention

Study type: Observational

Funder types: Other

Identifiers

NCT05555095

1876230

Details and patient eligibility

About

The purpose of this study is to examine the intervention effectiveness and dissemination of digital health care delivery models for improving selected health outcomes in the Medicaid population.

Full description

The investigators will conduct a mixed method study that includes a controlled interrupted times series (CITS) design to study hypertension (HTN) and diabetes, a cohort to study pregnancy, and longitudinal patient and provider interviews to study experiences. This approach is appropriate when randomization is not desirable or feasible and is frequently utilized for evaluation of public health interventions (Lopez Bernal et al., 2018; Hategeka et al., 2020).

Enrollment: 19,331 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patient of one of four medically qualified health care centers and/or OSF HealthCare as defined by insurance type
• Insured by Medicaid or dually eligible for Medicare or Medicaid
• Has one or more of the three following conditions:

Hypertension, Diabetes Mellitus, or Pregnancy

• Able to read and understand English or read translated materials in language provided (e.g. Spanish)
• Minors who are pregnant and less 18 years of age who are enrolled in the MIC Program

Exclusion criteria

• Not enrolled in the MIC Program
• No one will be excluded on basis of sex or race

Trial design

19,331 participants in 5 patient groups

OSF HealthCare

Description:

Subjects from OSF HealthCare

Treatment:

Behavioral: digital health delivered multicomponent intervention

Federally Qualified Health Center (FQHC) - 1

Description:

Subjects from Eagle View Community Health System enrolled in MIC Program

Treatment:

Behavioral: digital health delivered multicomponent intervention

Federally Qualified Health Center (FQHC) - 2

Description:

Subjects from Chestnut Health System Inc. enrolled in MIC Program

Treatment:

Behavioral: digital health delivered multicomponent intervention

Federally Qualified Health Center (FQHC) - 3

Description:

Subjects from Heartland Community Health System enrolled in MIC Program

Treatment:

Behavioral: digital health delivered multicomponent intervention

Federally Qualified Health Center (FQHC) - 4

Description:

Subjects from Aunt Martha's enrolled in MIC Program

Treatment:

Behavioral: digital health delivered multicomponent intervention