Impact of population-based disease management services (encompassing population analytics and telephone health coaching) on cost and hospitalisation for privately insured Australians with selected chronic conditions

A randomised control trial to evaluate the ability of a full service disease management program (encompassing population analytics and telephone health coaching), in comparison to simple program awareness building, to impact on subsequent health care costs and hospitalization for privately insured individuals with specific conditions and identified risks.

Status

Completed

Phases

Unknown

Study type

Interventional

Source

ANZCTR

Registry ID

ACTRN12611000580976

Acronym

CAPICHe Costs to Australian Private Insurance - Coaching Health

Enrollment

48397

Registered

2011-06-06

Start date

2011-05-10

Completion date

2012-06-24

Last updated

2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

A prospective study of 36,000 subjects will be undertaken to assess the impact of a chronic disease management services encompassing population analytics and telephone health coaching on health service utilisation and costs. Identification and predictive models based on health fund administrative data will be used to identify subjects with selected chronic conditions (congestive heart failure, coronary artery disease, diabetes, low back pain, coronary obstructive pulmonary disease) who have high likelihood of future health utilisation and costs in the subsequent twelve months. These subjects will be randomly assigned to either receive active outreach including outbound phone calls to encourage program participation or to receive only basic information about the program. Health coaching will be delivered over the phone, by specially trained and qualified nurses and tailored to the individual’s need. It aims to empower subjects through goal setting and support.

Interventions

Disease management services from Bupa Health Dialog including mailed program awareness notifications, tailored mailed educational material, tailored outreach material designed to encourage individuals with specific risks to talk with a Health Coach, outbound Health Coach outreach and follow-up calls (a minimum of two calls in first two months with no maximum number of calls being set), access on an inbound telephonic basis to Health Coaches, and mailed Health Coach selected educational and other

Study design

Allocation

Randomised controlled trial

Intervention model

Parallel

Primary purpose

Prevention

Masking

Open (masking not used)

Eligibility

Sex/Gender

All

Age

18 Years to 90 Years

Healthy volunteers

Inclusion criteria

Hold hospital cover with Bupa Australia (and have done so for at least 12 months continuously immediately prior to recruitment); Have claims evidence of diagnosis of low back pain, diabetes, coronary artery disease, congestive heart failure, or chronic obstructive pulmonary disease; Are the highest risk member of their household based on predicted risk; and Have claims-based predicted risk level above a pre-determined threshold of 0.061. This is equivalent to a predicted cost for the following 12 months of $3,050 or more.

Exclusion criteria

Any individual who shares a household with a previously assigned study subject; Individuals targeted by Bupa Health Dialog for similar services prior to study initiation (the COACH program for cardiovascular disease, the Genesis Heart Care program for quality improvement, and the Medibank Health Solutions Psychiatric Program); Individuals involved in other potentially related chronic disease management programs through Bupa Australia prior to study initiation Individuals with claims evidence prior to study initiation of: End Stage Renal Disease, AIDS, Haemophilia, Necrotizing fasciitis, organ transplant

Outcome results