Transforming Health Care Through Evidence and Collaboration
Transforming Health Care Through Evidence and Collaboration
The NIHCM Foundation is a nonprofit, nonpartisan organization dedicated to improving the effectiveness, efficiency and quality of America's health care system.
  • Advisory Board

    NIHCM Foundation is pleased to welcome Dr. Scott Gottlieb, Sherry Glied, PhD, and Katherine Baicker, PhD, to its distinguished Advisory Board. Their ideas and insights will advance NIHCM's mission to improve health care for millions of Americans.

    Press Release Advisory Board
  • Awards

    NIHCM Foundation hosted the 25th Annual NIHCM Awards at the Organization of American States in Washington, D.C. to recognize outstanding health care research and journalism.

    Press Release Winners Finalists
  • News

    NIHCM welcomed Secretary Azar to a meeting in March to discuss efforts by the Department of Health and Human Services to transform health care by lowering costs and improving value for patients.

  • Webinars

    As recognition of our country's mental and behavioral health challenges grows, Americans are looking for answers that will increase their happiness and well-being and prevent deaths of despair related to mental health, opioids and suicide. Our four-part webinar series delves into the research and explores innovative strategies and evidence-based solutions to lift our society from crisis.

    Learn More
  • Grants

    NIHCM Foundation has awarded ten grants for health care journalism including investigative reporting, public engagement campaigns for documentaries and educational opportunities for reporters.

    Press Release All Journalism Grantees Apply for Funding
  • Grants

    NIHCM has awarded over $400,000 in grants to support seven investigator-initiated research studies on topics including value-based drug pricing and Medicaid expansion.

    Press Release All Research Grantees Apply for Funding
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Events

June 13, 2019
opioids-2019-webinar-graphic

The final part in our four-part Defying Despair series, this webinar discussed ongoing efforts to increase access to evidence-based treatment for opioid use disorder and guide people on a path to recovery.

May 16, 2019
Alliance-Rx-Patent-Webinar-052019

Manufacturer practices under the current patent system have come under scrutiny for blocking or delaying the entry of generic or biosimilar drugs into the market. During this webinar, panelists explored the relationship between patents, prices and patient access.

In the News

July 2019
Population Health Spotlight
ALZ-panel1-June2019

Can Medicaid Reduce Racial Disparities in the Use of Health Services Through Integrated Case Management?

Why This Study is Important

It is well established that whites have higher use of health services relative to minority individuals, even among Medicaid beneficiaries with similar health insurance coverage. Other research has shown that a Medicaid disease management program targeted to individuals with a specific chronic illness (e.g., diabetes) reduced utilization discrepancies between African American and white beneficiaries. The study described here examined whether a Medicaid integrated case management (ICM) program that applies to patients with multiple chronic conditions and a host of other social, mental health or behavioral issues can also reduce racial disparities in utilization. The Medicaid plan operated two versions of ICM over the study period; the first was largely standardized and automated while the second was much more patient-centered and interactive.

What This Study Found

  • The integrated case management program diminished or eliminated existing racial disparities in utilization between African American and white individuals.
  • Significant initial racial differences in the use of primary care and specialist visits were eliminated using either the standardized ICM model or the patient-centered ICM model.
  • The patient-centered model also diminished racial differences in the use of urgent and non-urgent ED visits and eliminated differences in inpatient admission rates.
  • The narrowing of disparities was due to larger absolute reductions in use for white ICM participants relative to only small declines for African American beneficiaries.

What These Findings Mean

  • Integrated case management can help to reduce disparities in health care use by maintaining African American access to outpatient care while reducing higher use—or even potential overuse—among white beneficiaries.
  • The more personalized activities in the patient-centered ICM program were especially helpful in reducing disparities.

More About This Study

This study examined nonpregnant, nonelderly adults participating in two versions of an integrated case management program in one large Medicaid managed care plan in Virginia. Using claims and ICM program data, the researchers estimated two-part multivariate regression models to predict service use for racial groups before and after ICM, controlling for an array of patient characteristics, the patient’s predicted probability of electing to participate in the voluntary ICM programs, type and intensity of ICM involvement, and fixed effects for individual case managers.

Full Citation

Bazzoli GJ, Carcaise-Edinboro P, Sabik LM, Chandan P, and Harpe S. “Integrated Case Management: Does It Reduce Service Disparities Across African American and White Medicaid Beneficiaries?” Medical Care Research and Review, Prepublished June 14, 2016.

For more information about this study, contact Dr. Gloria Bazzoli at gbazzoli[at]vcu.edu.
For more information about the NIHCM Foundation Investigator-Initiated Research Grant Program, contact Dr. Julie Schoenman at 202-296-4426.

Read More

The racial disparities in health service use among Medicaid beneficiaries with similar coverage have been well established. A study led by Gloria Bazzoli and colleagues and supported by a NIHCM research grant finds that integrated case management (ICM) reduces these racial disparities in the use of both primary care and emergency care. This one-page Research Insights reviews the key takeaways from the published Medical Care Research and Review article.

Events

June 13, 2019
opioids-2019-webinar-graphic

The final part in our four-part Defying Despair series, this webinar discussed ongoing efforts to increase access to evidence-based treatment for opioid use disorder and guide people on a path to recovery.

May 16, 2019
Alliance-Rx-Patent-Webinar-052019

Manufacturer practices under the current patent system have come under scrutiny for blocking or delaying the entry of generic or biosimilar drugs into the market. During this webinar, panelists explored the relationship between patents, prices and patient access.

In the News

July 2019
Population Health Spotlight
ALZ-panel1-June2019

Grants

Journalism GrantsJournalism Grant Program

We are now accepting letters of inquiry for the 2019-2020 round of grantmaking. The deadline for submissions is July 15, 2019.

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Investigator-Initiated Research Grant Program

We are no longer accepting letters of inquiry for the 2019-2020 round of grantmaking. A small number of applicants will be invited to submit a full proposal in September.

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Awards

Winners Named in the 25th Annual Research and Journalism Awards

Winners Announcment 2018 1

Congratulations to all of the winners of the 25th Annual NIHCM Foundation Research and Journalism Awards! The winners and finalists were honored at a banquet in Washington, DC, in May.

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