• Jack Tsai, Suja Rajan, Chau Truong, Vanessa Schick, and Ganduglia CazabanCeciliaC.
• The University of Texas Health Science Center at Houston, 1200 Pressler St, Houston, TX 77030. Email: jack.tsai@uth.tmc.edu.
• Am J Manag Care. 2024 Mar 1; 30 (3): 133138133-138.

ObjectivesThis study evaluated a collaborative service model between the largest Medicaid managed care organization (MCO) in Texas, Superior HealthPlan, and the affordable housing provider Prospera Housing Community Services.Study DesignUsing a quasi-experimental 2-groups research design, we compared health care outcomes and costs between a sample of 104 participants served by the Prospera+Superior collaborative model and a group of 104 participants who had health care coverage through the Superior HealthPlan Medicaid MCO but did not live at Prospera properties (ie, Superior-only group).MethodsData from medical claims were analyzed to examine change in outcomes 12 months before and after implementation of the Prospera+Superior collaborative model in 2019.ResultsThe Prospera+Superior group had a 56% lower rate of emergency department/urgent care visits and spent $2061 less in prescription costs than the Superior-only group after implementation.ConclusionsThese findings provide needed evidence of the clinical and economic value of forming multisector collaborative models between MCOs and other community providers.

7 keywords...

hide…