New Findings from G.G. Peterson and Co-Researchers in the Area of Clinical Trials and Studies Described (Testing the Replicability of a Successful…

New Findings from G.G. Peterson and Co-Researchers in the Area of Clinical Trials and Studies Described (Testing the Replicability of a Successful Care Management Program: Results from a Randomized Trial and Likely Explanations for Why Impacts ...)

By a News Reporter-Staff News Editor at Insurance Weekly News -- Current study results on Clinical Research - Clinical Trials and Studies have been published. According to news originating from Washington, District of Columbia, by VerticalNews correspondents, research stated, "To test whether a care management program could replicate its success in an earlier trial and determine likely explanations for why it did not. Data Sources/Setting. Medicare claims and nurse contact data for Medicare fee-for-service beneficiaries with chronic illnesses enrolled in the trial in eastern Pennsylvania (N = 483)."

Our news journalists obtained a quote from the research, "A randomized trial with half of enrollees receiving intensive care management services and half receiving usual care. We developed and tested hypotheses for why impacts declined. All outcomes and covariates were derived from claims and the nurse contact data. From 2010 to 2014, the program did not reduce hospitalizations or generate Medicare savings to offset program fees that averaged $260 per beneficiary per month. These estimates are statistically different (p < .05) from the large reductions in hospitalizations and spending in the first trial (2002-2010). The treatment-control differences in the second trial disappeared because the control group's risk-adjusted hospitalization rate improved, not because the treatment group's outcomes worsened. Even if demonstrated in a randomized trial, successful results from one test may not replicate in other settings or time periods."

According to the news editors, the research concluded: "Assessing whether gaps in care that the original program filled exist in other settings can help identify where earlier success is likely to replicate."

For more information on this research see: Testing the Replicability of a Successful Care Management Program: Results from a Randomized Trial and Likely Explanations for Why Impacts Did Not Replicate. Health Services Research, 2016;51(6):2115-2139. Health Services Research can be contacted at: Wiley-Blackwell, 111 River St, Hoboken 07030-5774, NJ, USA. (Wiley-Blackwell - www.wiley.com/; Health Services Research - onlinelibrary.wiley.com/journal/10.1111/(ISSN)1475-6773)

The news correspondents report that additional information may be obtained from G.G. Peterson, Math Policy Res, Washington, DC 20002, United States. Additional authors for this research include J. Zurovac, R.S. Brown, K.D. Coburn, P.A. Markovich, S.A. Marcantonio, W.D. Clark, A. Mutti and C. Stepanczuk.

Keywords for this news article include: Washington, District of Columbia, United States, North and Central America, Clinical Trials and Studies, Clinical Research, Health Policy, Medicare.

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