Clinical trials: Medicare
Economics, Fraud
The Effect of Informative Letters on the Prescription and Receipt of Opioids
Inappropriate prescribing exposes patients to health risks and results in wasteful public expenditures. This study will evaluate an approach to fighting abusive prescription: sending letters to suspected potentially inappropriate…
- Conditions
- Economics, Fraud, Delivery of Health Care, Health Expenditures
- Trial name
- NCT03202745
- Testing
- Patient Consequences Letter, Prescriber Consequences Letter
- Volunteers
- healthy volunteers welcome
- Sponsor
- Abdul Latif Jameel Poverty Action Lab
Bronchiolitis Obliterans Syndrome (BOS)
Extracorporeal Photopheresis for Medicare Recipients of Lung Allografts
The primary aims of this study is to determine the efficacy and tolerability of Extracorporeal Photopheresis (ECP) for the treatment of either Refractory Bronchiolitis Obliterans Syndrome (BOS) patients (258 at cessation of…
- Trial name
- ECP (NCT02181257)
- Testing
- Extracorporeal Photopheresis (ECP), No intervention in the SOC / Retrospective Chart review.
- Where
- 22 sites in United States
- Volunteers
- 280 people
- Sponsor
- Washington University School of Medicine
Prostate Cancer
Treatment Patterns in Castrate Resistant Prostate Cancer Patients With Bone Metastases in a Medicare Population
The goal of the study is to provide a detailed description of treatments for CRPC (Castrate Resistant Prostate Cancer) patients with bone metastases and the resource utilization and costs associated with that diagnosis and…
- Trial name
- NCT02518698
- Testing
- Radium-223 dichloride (Xofigo, BAY88-8223)
- Where
- United States
- Volunteers
- 1,163 people
- Sponsor
- Bayer
Diabetes
Evaluating the Implementation of the Diabetes Prevention Program in an Integrated Health System
In preparation for the roll out of the Medicare Diabetes Prevention Program (DPP) in 2018, Kaiser Permanente Northwest (KPNW), a large, integrated health care system, plans to pilot the implementation of DPP starting in April…
- Trial name
- NCT03249077
- Testing
- Digital DPP, In-person DPP, DPP not enrolled
- Where
- United States
- Volunteers
- 8,198 people
- Sponsor
- Kaiser Permanente
Cytochrome P450 CYP2D6 Enzyme Deficiency, Poor Metabolizer Due to Cytochrome P450 CYP2D6 Variant
Drug & Gene Interaction Risk Analysis With & Without Genetic Testing Among Patients Undergoing MTM
This randomized controlled trial will evaluate whether the use of pharmacogenetic testing through a Medication Therapy Management (MTM) program has a beneficial impact on drug therapy problems.
- Conditions
- Cytochrome P450 CYP2D6 Enzyme Deficiency, Poor Metabolizer Due to Cytochrome P450 CYP2D6 Variant, Ultrarapid Metabolizer Due to Cytochrome P450 CYP2D6 Variant, Extensive Metabolizer Due to Cytochrome P450 CYP2D6 Variant
- Trial name
- NCT02428660
- Testing
- Pharmacogenetic testing, Software-based drug & gene interaction risk analysis, MTM
- Where
- United States
- Volunteers
- 341 people
- Sponsor
- Genelex Corporation
Medicare Patients, High Risk of Hospitalizations
Comprehensive Care Physician: Integrated Inpatient and Outpatient Care for Patients at High Risk of Hospitalization
The investigators propose an innovative new model of care in which patients identified to be at high risk of hospitalization are offered care by a physician who will direct their care both in the hospital and in clinic but is…
- Trial name
- CCP (NCT01929005)
- Testing
- Comprehensive Care
- Where
- United States
- Volunteers
- 2,008 people
- Sponsor
- University of Chicago
Diabetes Mellitus, Type 2
Diabetes Coaching Program for Medicare Advantage Members With Type 2 Diabetes - Impact on A1c
The Diabetes Coaching Program for Medicare Advantage Members with Type 2 Diabetes - Impact on A1c trial is a 26-week long, prospective, intent-to-treat, 2-arm randomized controlled trial that aims to evaluate the impact of the…
- Trial name
- NCT03363100
- Testing
- Digital health Partnership program
- Where
- United States
- Volunteers
- 624 people
- Sponsor
- Evidation Health
Prostatic Neoplasms
A Study to Learn About Novel Hormonal Therapies in People With Metastatic Castration-Sensitive Prostate Cancer (mCSPC)
The purpose of this study is to learn about how long novel hormonal therapies are taken by men to treat mCSPC. Novel hormonal therapies in this study include study medicines abiraterone, apalutamide, and enzalutamide.
- Trial name
- NCT06072196
- Testing
- Novel hormonal therapy
- Where
- United States
- Volunteers
- 3,017 people
- Sponsor
- Pfizer
Dementia, Depression
3D Team Care for Cognitively Vulnerable Older Adults
This study addresses how to achieve better outcomes for cognitively vulnerable community-dwelling older adults and their families.
- Conditions
- Dementia, Depression, Delirium
- Trial name
- NCT02945085
- Testing
- Home Based Care Team, Telephone Based Care Team
- Where
- United States
- Volunteers
- 506 people
- Sponsor
- UConn Health
Advance Care Planning, Palliative Care
Palliative Care for Persons With ADRD and CI in SNF
Alzheimer's disease and related dementias (ADRD) are serious, life limiting illnesses with no known cure. Dementia is the fifth-leading cause of death in older adults and the majority of people with advanced dementia die in…
- Conditions
- Advance Care Planning, Palliative Care, Skilled Nursing Facility, Cognitive Impairment
- Trial name
- NCT05308004
- Testing
- Palliative Care Consultation
- Where
- United States
- Volunteers
- 7 people
- Sponsor
- University of Maryland, Baltimore
Congestive Heart Failure, Diabetes
Evaluation of Programs of Coordinated Care and Disease Management
This is a Congressionally mandated study. In the original study, 16 demonstration programs provided care coordination services to beneficiaries with chronic illness in Medicare's fee-for-service program.
- Conditions
- Congestive Heart Failure, Diabetes, Coronary Artery Disease, Chronic Obstructive Pulmonary Disease
- Trial name
- Coca (NCT00627029)
- Testing
- Care Coordination
- Where
- 15 sites in United States
- Volunteers
- 18,277 people
- Sponsor
- Mathematica Policy Research, Inc.
Preventive Health Services
AWV Practice Redesign Toolkit (Tailored Intervention)
The goal of this study is to improve the use of preventive health services by implementing the AWV Practice Redesign Toolkit to stimulate AWV visit use in diverse practices across the United States.
- Trial name
- NCT05563415
- Testing
- Medicare AWV Practice Redesign Toolkit
- Where
- United States
- Volunteers
- 13,321 people
- Sponsor
- University of California, Los Angeles
Falls-Risk
Effectiveness of an Automated Falls-Risk Screening and Referral Tool in the Emergency Department (ED)
The purpose of this retrospective cohort study is to evaluate the effectiveness of an EHR-based clinical decision support system (CDS) for automatically screening older adult ED patients for risk of future falls and providing ED…
- Trial name
- NCT05810064
- Testing
- Falls-Risk Clinical Decision Support (CDS) Tool
- Where
- 3 sites in United States
- Volunteers
- 36,205 people
- Sponsor
- University of Wisconsin, Madison
Alzheimer Disease
Georgia Memory Net Anti-Amyloid Monoclonal Antibody Registry
The purpose of this registry is to compile information on patients who are receiving FDA-approved anti-amyloid mAbs in the course of their clinic visits in the Emory Cognitive Neurology Clinic and in Georgia Memory Net Memory…
- Trial name
- NCT05999084
- Testing
- Anti-amyloid Monoclonal Antibodies (mAbs), Standard of Care
- Where
- 8 sites in United States
- Volunteers
- 735 people
- Sponsor
- Emory University
Palliative Care, Advance Care Planning
Palliative Care Consultations in the Skilled Nursing Facility (SNF) Setting
Close to one-third of Medicare decedents use the Medicare skilled nursing facility (SNF) benefit in the 6 months prior to death.
- Conditions
- Palliative Care, Advance Care Planning, Skilled Nursing Facilities
- Trial name
- NCT03958552
- Testing
- Palliative Care Consultation
- Where
- United States
- Volunteers
- 45 people
- Sponsor
- University of Maryland, Baltimore
Smoking
Metabolism Informed Smoking Treatment: The MIST RCT
This phase 3 randomized controlled trial will test Metabolism-Informed Smoking Treatment (MIST), a precision approach to smoking treatment that biologically tailors medication selection to nicotine metabolism.
- Trial name
- NCT04590404
- Testing
- Post-discharge automated phone calls (IVR) with option to connect with a tobacco coach., Nicotine Replacement Therapy, Varenicline
- Where
- United States
- Volunteers
- 606 people
- Sponsor
- Vanderbilt-Ingram Cancer Center
Pain, Hypoglycemia
Outcomes Study of MTM in a Medicare ACO
This is a non-randomized, prospective, quasi-experimental study designed to assess the impact of pharmacist-provided medication management on total cost of care and clinical outcomes (ie, hospitalizations, emergency department…
- Trial name
- NCT02875925
- Testing
- MTM
- Where
- United States
- Volunteers
- 77 people, healthy volunteers welcome
- Sponsor
- HealthEast Care System
Chronic Kidney Disease
Study to Evaluate the Prospective Payment System
To describe trends in treatment patterns of Small Dialysis Organizations (SDOs) prior to and during the implementation of the Centers for Medicare and Medicaid Services' (CMS') policy [End Stage Renal Disease (ESRD) Prospective…
- Trial name
- STEPPS™ (NCT01717989)
- Where
- 41 sites in United States, Puerto Rico
- Volunteers
- 2,248 people
- Sponsor
- Amgen
Medicare Expenditures and Hospital Use, All Conditions
Staffing Patterns of Comprehensive Primary Care Practices
Examines staff size and composition of the 496 advanced primary care practices participating in CMS's comprehensive primary care initiative, in 7 regions (states or local areas) that were selected for the demonstration.
- Trial name
- cpc (NCT01827189)
- Testing
- Comprehensive primary care
- Volunteers
- 15,000 people
- Sponsor
- Mathematica Policy Research, Inc.
Muscle Weakness
Promoting Seniors' Health With Home Care Aides
This study aims to test whether a safe physical activity program with a built-in motivational enhancement component, performed in a seated position, preserves the function and well-being of older home care clients.
- Trial name
- NCT03301116
- Testing
- Healthy Moves for Aging Well (Healthy Moves), Active Mind for Aging Well (Active Mind)
- Where
- United States
- Volunteers
- 157 people
- Sponsor
- University of Illinois at Chicago