Improving care for disadvantaged Medicare patients to reduce hospitalizations
Care in the Comprehensive Care Physician (CCP) Program vs. Care in the Comprehensive Care Community and Culture Program (C4P) vs. Care in the Traditional Care
This study is testing three different ways to provide care for low-income Medicare patients at high risk of going to the hospital to see which one helps them stay healthier and happier.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 3000 (estimated) |
| Ages | 18 Years and up |
| Sex | All |
| Sponsor | University of Chicago Academic / other |
| Locations | 1 site (Chicago, Illinois) |
| Trial ID | NCT04489693 on ClinicalTrials.gov |
What this trial studies
This randomized trial evaluates the effectiveness of three different care coordination models for socioeconomically disadvantaged Medicare patients at high risk of hospitalization. Participants will receive care through either an Ambulatory Care Coordinator Team (ACCT), a Comprehensive Care Physician Program (CCP), or a Comprehensive Care Community & Culture Program (C4P) that includes additional support for social needs. The study aims to assess the impact of these models on hospitalization rates, patient engagement, satisfaction with care, and overall health outcomes. By addressing both medical and social needs, the trial seeks to provide evidence on effective strategies for reducing health disparities.
Who should consider this trial
Good fit: Ideal candidates are socioeconomically disadvantaged Medicare patients who have been hospitalized at least once in the past two years or are in the emergency department at the time of recruitment.
Not a fit: Patients who do not meet the Medicare eligibility criteria or have not been hospitalized recently may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could lead to reduced hospitalization rates and improved health outcomes for vulnerable Medicare patients.
How similar studies have performed: Other studies have shown promise in improving care coordination for high-risk populations, but this specific approach is relatively novel.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Must have Medicare Part A and Part B * Must have been hospitalized once in the past 2 years or be in emergency department at time recruitment is initiated Exclusion Criteria: \- None
Where this trial is running
Chicago, Illinois
- David Meltzer — Chicago, Illinois, United States (Recruiting)
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.