This study evaluated the impact of an interdisciplinary care teams (IDCT) care management program on cost and quality outcomes using a novel algorithm to identify 400 high-risk patients out of 48,235 Medicare Advantage (MA) beneficiaries. Of the 400, 252 were enrolled in the IDCT care management intervention program, while the remaining 148 were not enrolled. A second comparison group consisted of 660 who were referred to the IDCT program but not selected by the algorithm. The program's effectiveness was evaluated 1-year postintervention. Analyses found that health care costs for members enrolled in the IDCT program were reduced by US$1,121.76 and US$1,625.61 per member per month, respectively, relative to those not enrolled and those enrolled by referral. The cost reduction from the program generated a net savings of US$1.9MM, covering the program's cost. Findings suggest IDCTs can cost-effectively manage populations of high-risk patients with better selection and fostering greater interdependence.

中文翻译：

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跨学科护理团队护理管理能否提高健康质量并展现成本效益？

本研究评估了跨学科护理团队 (IDCT) 护理管理计划对成本和质量结果的影响，使用一种新颖的算法从 48,235 名 Medicare Advantage (MA) 受益人中识别出 400 名高风险患者。在这 400 人中，有 252 人参加了 IDCT 护理管理干预计划，其余 148 人没有参加。第二个比较组由 660 名被转介至 IDCT 计划但未被算法选中的人组成。该计划的有效性在干预后一年进行评估。分析发现，相对于未注册会员和通过转介注册的会员，加入 IDCT 计划的会员每月的医疗费用分别减少了 1,121.76 美元和 1,625.61 美元。该计划的成本降低净节省了 1.9MM 美元，覆盖了该计划的成本。研究结果表明，IDCT 可以经济有效地管理高风险患者群体，提供更好的选择并促进更大的相互依赖。