A randomized controlled trial looking at four years of Medicaid data concludes that telephonic case management is not effective in reducing hospital or emergency room visits.

Objective. To test the effectiveness of a telephone care management intervention to increase the use of primary and preventive care, reduce hospital admissions, and reduce emergency department visits for Medicaid beneficiaries with disabilities in a managed care setting.

Conclusions. The lack of success for Medicaid beneficiaries, along with other recent studies, suggests that more intensive and more targeted interventions may be more effective for the high-needs population.

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