Health Care Hotspotting: The Effect of the Camden Coalition of Healthcare Providers Super-Utilizer Model on Utilization Outcomes in the Medicaid Population

Early work by the Camden Coalition of Healthcare Providers (CCHP) showed promise for improving care and reducing avoidable costs for patients with complex health conditions who were frequent users of hospital services. In collaboration with CCHP, Massachusetts Institute of Technology (MIT) conducted a randomized clinical trial (RCT) of the Coalition’s Care Management Intervention program. Disappointingly, the RCT showed no impact of the intervention on 180-day hospital readmission rates and related outcomes. However, because of data limitations the RCT could not look at emergency department outcomes and was limited in its time horizon. In this project CSHP investigators are working with MIT to link NJ Medicaid utilization and spending administrative records to RCT data to expand the study’s outcomes and timeframe among Medicaid-enrolled patients.