Community Jameel

When a randomized evaluation finds null results, it is important to understand why. We investigated two very different explanations for the finding from a randomized evaluation that the Camden Coalition’s influential care management program—which targeted high-use, high-need patients in Camden, New Jersey—did not reduce hospital readmissions. One explanation is that the program’s underlying theory of change was not right, meaning that intensive care coordination may have been insufficient to change patient outcomes. Another explanation is a failure of implementation, suggesting that the program may have failed to achieve its goals but could have succeeded if it had been implemented with greater fidelity. To test these two explanations, we linked study participants to Medicaid data, which covered 561 (70 percent) of the original 800 participants, to examine the program’s impact on facilitating postdischarge ambulatory care—a key element of care coordination. We found that the program increased ambulatory visits by 15 percentage points after fourteen days postdischarge, driven by an increase in primary care; these effects persisted through 365 days. These results suggest that care coordination alone may be insufficient to reduce readmissions for patients with high rates of hospital admissions and medically and socially complex conditions.

The Camden Coalition care management program improved intermediate care coordination: A Randomized controlled trial

Details

author(s)

publication date

source

related programme

Link to publication

Tax farming redux: Experimental evidence on performance pay for tax collectors

Lives vs. Livelihoods: The impact of the Great Recession on mortality and welfare

Une brève histoire de l’économie

Fixing forest carbon credits

Is it who you are or what you get? Comparing the impacts of loans and grants for microenterprise development

The Camden Coalition care management program improved intermediate care coordination: A Randomized controlled trial

India’s women’s reservation act: A big win for governance and beyond

Stigma and take-Up of labour market assistance: Evidence from two field experiments

Improving delivery of the social safety net: The role of stigma

The Importance of a helping hand in education and in life

Empowering women facing gender-based violence amid COVID-19 through media campaigns

'We've got you covered'

System-, teacher- and student-level interventions for improving participation in online learning at scale in high schools

Finding the indiscernible poor: Community knowledge as a targeting approach

Come out and play: Public space recovery, social capital and citizen security

The demand for mobility: Evidence from an experiment with Uber riders

Come out and play: public space recovery, social capital and citizen security

Effects of cognitive behavioural therapy and cash transfers on older persons living alone in India

The risk of losing health insurance in the United States is large, and remained so after the Affordable Care Act

Better strategies for saving more: Evidence from three interventions in Chile

Out of the woodwork: Enrolment spillovers in the Oregon health insurance experiment

Depression and loneliness among the elderly poor

Development economics, the future of human behaviour research (January 2022)

Books for children on poverty issues

Handbook on using administrative data for research and evidence-based policy

The challenges of universal health insurance in developing countries: Experimental evidence from Indonesia's national health insurance

Food vs. Food Stamps: Evidence from an At-Scale Experiment in Indonesia

Cooking to save your life

The long term effects of the 'Targeting the Ultra Poor Programme'

Improving female labour force participation in MENA

Health care hotspotting — A randomised, controlled trial

Messages on COVID-19 prevention in India increased symptoms reporting and adherence to preventive behaviours among 25 million recipients with similar effects on non-recipient members of their communities

Unpacking a multi-faceted programme to build sustainable income for the very poor

Good economics for hard times

Up in smoke: The influence of household behaviour on the long-run impact of improved cooking stoves

Running randomised evaluations: A practical guide

Do labour market policies have displacement effects? Evidence from a clustered randomized experiment

Improving police performance in Rajasthan, India: Experimental evidence on incentives, managerial autonomy and training

Corruption in developing countries

Poor economics: A radical rethinking of the way to fight global poverty

La politique de l’autonomie: Lutter contre la pauvreté (Vol 2)

Le développement humain: Lutter contre la pauvreté (Vol 1)

Can voters be primed to choose better legislators? Experimental evidence from Rural India

Medicaid crowd-out of private long-term care insurance demand: Evidence from the health and retirement survey

Making aid work

Social protection in the developing world

Designing a public transit network: Evidence from Jakarta, Indonesia

Policy innovation and experimentation for effective and equitable climate solutions