Intensive care management of a complex Medicaid population: a randomized evaluation.

Objectives: Care management programs are employed by providers and payers to support high-risk patients and affect cost and utilization, with varied implementation. This study sought to evaluate the impact of an intensive care management program on utilization and cost among those with highest cost (top 5%) and highest utilization in a Medicaid accountable care organization (ACO) population.

Study Design: Randomized controlled quality improvement trial of intensive care management, provided by a nonprofit care management vendor, for Medicaid ACO patients at 2 academic centers.

A population management system for improving colorectal cancer screening in a primary care setting.

Rationale: Provision of colorectal cancer (CRC) screening in primary care is suboptimal; failure to observe screening guidelines poses unnecessary risks to patients and doctors.

Aims And Objectives: Implement a population management system for CRC screening; evaluate impact on compliance with evidence-based guidelines.

Design: A quasi-experimental, prospective quality improvement study design using pre-post-analyses with concurrent controls.