RECRUITING

Evaluation of AI Cost Prediction Model to Enroll Patients in Complex Care Management Program

Study Overview

This clinical trial focuses on testing the efficacy of different digital interventions to promote re-engagement in cancer-related long-term follow-up care for adolescent and young adult (AYA) survivors of childhood cancer.

Description

Currently, UCLA Health (specifically the Office of Population Health and Accountable Care, or OPHAC) runs a complex care management program called Proactive Care (goal is to reduce care utilization by providing personalized care navigation/case management). Every month, an AI Population Risk tool runs to identify around 250 of the 480,000 or so UCLA primary care patients, and RNs contact these 250 patients to enroll in Proactive Care. Starting in December 2024, OPHAC launched a new method of enrolling UCLA's Medicare Advantage (MA) patients into Proactive Care: an AI Cost Prediction model. The idea is the same-- the top 250 highest predicted cost patients will be enrolled in Proactive Care. The investigators will evaluate this model and subsequent enrollment into the program by randomizing the waitlist of MA patients waiting to enroll in Proactive Care, thereby creating a control group. The top 500 highest predicted cost patients will be identified each month, and following a 1:1 randomization, 250 will be contacted for enrollment and the rest will be put on a wait-list control group for 10 months unless otherwise requested by their provider to be enrolled in the Proactive Care program earlier.

Official Title

Evaluation of MA Proactive Care Program Using Cost Prediction Model With Randomized Waitlist

Quick Facts

Study Start:2024-08-16
Study Completion:2026-06-30
Study Type:Not specified
Phase:Not Applicable
Enrollment:Not specified
Status:RECRUITING

Study ID

NCT06916247

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Ages Eligible for Study:18 Years
Sexes Eligible for Study:ALL
Accepts Healthy Volunteers:No
Standard Ages:ADULT, OLDER_ADULT
Inclusion CriteriaExclusion Criteria
  1. * At least 18 years of age
  2. * Enrolled in a UCLA Managed Care Plan
  3. * Cost prediction model identifies patient as having high predicted costs over the next 12 months
  1. * Currently enrolled in any UCLA care management program
  2. * Enrolled in any UCLA care management program in the last 12 months
  3. * Already has an active referral to a care management program

Contacts and Locations

Study Contact

Richard K Leuchter, MD
CONTACT
310-267-9111
rleuchter@mednet.ucla.edu
William Turner, BA
CONTACT
310-267-9111
wturner@mednet.ucla.edu

Principal Investigator

Richard K Leuchter, MD
PRINCIPAL_INVESTIGATOR
University of California, Los Angeles

Study Locations (Sites)

UCLA Health
Los Angeles, California, 90095
United States

Collaborators and Investigators

Sponsor: University of California, Los Angeles

  • Richard K Leuchter, MD, PRINCIPAL_INVESTIGATOR, University of California, Los Angeles

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates

Study Start Date2024-08-16
Study Completion Date2026-06-30

Study Record Updates

Study Start Date2024-08-16
Study Completion Date2026-06-30

Terms related to this study

Keywords Provided by Researchers

  • High utilization
  • Complex care management
  • Cost prediction model

Additional Relevant MeSH Terms

  • Chronic Disease