Case management for high-cost Medicare beneficiaries
Schore, Jennifer L
Date of Pub
Brown, Randall S; Cheh, Valerie A
We estimated the effects of three Health Care Financing Administration (HCFA)-funded case management demonstrations for high-cost
Medicare beneficiaries in the fee-for-service (FFS) sector. Participating beneficiaries were randomly assigned to receive
case management plus regular Medicare benefits or regular benefits only. None of the demonstrations improved self-care or
health or reduced Medicare spending. Despite the lack of effects of these interventions, case management might be cost-effective
if it includes greater involvement of physicians, is more well-defined and goal-oriented, and incorporates financial incentives
to generate savings in Medicare costs. Models incorporating these changes should be investigated before abandoning Medicare
case management interventions.
Case Management : Program Evaluation : Aged : Data Collection : Medicare : Regression Analysis : Support, U.S. Gov't, non-P.H.S.
: United States