Third Report to Congress on the Evaluation of the Medicare Coordinated Care Demonstration

Key Questions Answered
  • What’s the best available evidence for the effectiveness of care coordination programs?
Key Themes and Takeaways

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. 
Deborah Peikes
Randall Brown
Arnold Chen
Jennifer Schore
Population Addressed
People with Multiple Chronic Conditions
Level of Evidence
Randomized Study; Strong Evidence
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