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.
  • News

    To help you find answers to questions concerning COVID-19, NIHCM is providing you with links to expert sources that are frequently updated. We will continually update this list.

    Learn More
  • Awards

    We are honored to announce the finalists for the 26th Annual Health Care Research and Journalism Awards. The winning entry in each category will be announced in late Spring and will receive a $15,000 to $20,000 cash prize.

    See the Finalists Press Release The NIHCM Awards
  • Data Insights

    As individuals around the world practice physical distancing and quarantine, some may begin to feel increased levels of loneliness and social isolation. This new Data Insights explores the risk factors and identifies key strategies to combat loneliness and social isolation. 

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  • Grants

    NIHCM Foundation has awarded 14 grants for health care journalism including investigative reporting and educational opportunities for reporters.

    Press Release All Journalism Grantees
  • Grants

    NIHCM Foundation has awarded over $500,000 in grants to support nine investigator-initiated research studies.

    Press Release All Research Grantees
  • Briefing

    NIHCM Foundation led a briefing on Capitol Hill to discuss social determinants of health and the opioid crisis with Founding President and CEO Nancy Chockley, former CMS Administrator Don Berwick, Curtis Barnett of Arkansas Blue Cross Blue Shield, Craig Samitt of Blue Cross and Blue Shield of Minnesota, and Grant Baldwin from the CDC.

    Press Release Watch the Video
  • 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
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Events

April 15, 2020
USC-covid19-webinar-041520

In this webinar, speakers will discuss what questions journalists should ask providers and health systems to gauge their plans and preparedness and to understand the hard calls they are making on rationing care.

April 08, 2020
USC-covid19-webinar-040820

This webinar highlighted how a top reporter stays on top of the story every day and offered actionable tips that will bolster fellow journalists' coverage.

In the News

March 2020
Population Health Spotlight
newsletter rural urban new

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

April 15, 2020
USC-covid19-webinar-041520

In this webinar, speakers will discuss what questions journalists should ask providers and health systems to gauge their plans and preparedness and to understand the hard calls they are making on rationing care.

April 08, 2020
USC-covid19-webinar-040820

This webinar highlighted how a top reporter stays on top of the story every day and offered actionable tips that will bolster fellow journalists' coverage.

In the News

March 2020
Population Health Spotlight
newsletter rural urban new

Grants

Journalism GrantsJournalism Grant Program

NIHCM has announced its 2019 journalism grantees. We will begin accepting Letters of Inquiry for the 2020-2021 funding cycle in late spring 2020.

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NYTUpshotLogo

Investigator-Initiated Research Grant Program

NIHCM has announced its 2019 research grantees. We will begin accepting Letters of Inquiry for the 2020-2021 funding cycle in late spring 2020.

Read More

Awards

The 26th Annual Research and Journalism Awards

Winners Announcment 2018 1

We are honored to announce the finalists for the 26th Annual Health Care Research and Journalism Awards.

Learn More