Retrospective Data Analysis of VitalCare Targeted Population Management on Scott and White Chronically Ill Beneficiaries

Scott & White Health Plan

Status: Completed

Conditions: Chronic Illness

Treatments: Behavioral: ICC (Integrated Care Coaching) Intervention Group

Study type: Interventional

Funder types: Industry

Identifiers

NCT01912430

120246

Details and patient eligibility

About

New payment methods such as Accountable Care Organization (ACO's) and medical homes facilitate are new models for providers to deliver cost effective, quality patient outcomes. Integrated Care Coaching (ICC) is a healthcare delivery model combining telephonic interventions with an intelligent information technology platform that offered validated protocols and patient outcomes tracking. Health Integrated, Inc. has developed a validated program of Integrated Care Coaching (ICC), which was branded as "VitalCare", and implemented with over 7,000 members of the Scott and White Health Plan in Texas, would reduce healthcare costs/achieve a return on investment (ROI), improve clinical outcomes, and be satisfying for participants.

Full description

A prospective, pre-post historical control design trial with a concurrent control group cost/satisfaction analysis with a retrospective clinical study was undertaken with adult, Scott and White Health Plan (SWHP) patients with chronic illnesses. From 2007 to 2010, a total of 7,411 ICC and 10,148 control patients participated. Variables were costs, return on investment (ROI), iterative Patient Health Questionnaire (PHQ)9 scores, and satisfaction.

Enrollment: 17,559 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 18 years or older
• Having one or more of 21 chronic conditions, including those with depression and multiple chronic comorbidities.

Exclusion criteria

• Presence of Major Cancer, HIV, or ESRD in either the baseline or measurement periods
• Claims in excess of $100,000 in either baseline or intervention period.
• Claims for long term care or hospice in either baseline or intervention period.

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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17,559 participants in 2 patient groups

ICC (Integrated Care Coaching)

Experimental group

Description:

Received evidence-based, protocol-driven integrated care coaching intervention to improve chronic illness health outcomes (clinical, financial).

Treatment:

Behavioral: ICC (Integrated Care Coaching) Intervention Group

Control Group

Experimental group

Description:

Matched cohort by age and chronic illness diagnoses - no intervention

Treatment:

Behavioral: ICC (Integrated Care Coaching) Intervention Group