- What’s the best available evidence for the effectiveness of care coordination programs?
This resource reports the results of a rigorous evaluation of the Medicare Coordinated Care Demonstration, a randomized controlled trial to test whether care coordination could bring down costs and improve outcomes for people with chronic illnesses in the Medicare fee-for-service setting.
- The demonstration included 15 programs, which chose their own interventions and target populations.
- The evaluation found improvements in a few quality of care indicators, such as increased testing rates for cholesterol, a small reduction (4.5 percent) in hospitalizations across all programs combined, and a reduction in Medicare Part A and B expenditures for one program (Health Quality Partners).
- Although the results were modest, the report concludes that it would be worthwhile to distill the essential features of successful interventions and test whether they are replicable.