Effect of Comprehensive Care Coordination on Medicaid Expenditures Compared With Usual Care Among Children and Youth With Chronic Disease

Key Points Question Does a comprehensive care coordination program for publicly insured children and young adults with chronic disease decrease Medicaid expenditures by decreasing hospital and emergency department utilization? Findings In this randomized clinical trial, 3126 participants were randomized to care coordination and 3119 participants were randomized to usual care. Medicaid expenditures and health care utilization decreased similarly for both groups during the first year of the care coordination program. Meaning Care coordination did not reduce Medicaid expenditures or hospital and emergency department utilization among children and young adults with chronic disease.