This analysis used a quasi-experimental design to assess the impact of the KCCP intervention for active intervention participants (n = 251) versus a propensity score-matched comparison group (n = 251).
The KCCP intervention was built on the premise that integrated behavioral and medical services are essential to address the complex health needs of disabled Medicaid beneficiaries and thereby reduce costs.
In fact, the KCCP group incurred slightly higher average costs for some health services relative to the control group.
KCCP program costs averaged $554 PMPM, including outreach and start-up costs that far exceeded this threshold and would require extremely robust findings for cost offsets to emerge.
Should an intervention similar to the KCCP program be offered in the "real world," participation may be even lower given research-related resources would not be available and the outreach efforts employed in this study would not likely be feasible.
First, the KCCP intervention targeted some aspects of the care system but did not address others, such as payment reform or cost containment strategies.