In Reply: We agree with Dr Carmona that the most important message from our study is that it may be possible for care coordination programs to reduce hospitalizations and costs, and lessons can be learned from both the successful and the unsuccessful programs. The programs designed their own interventions and decided which chronic illnesses and severity levels to target. A key objective of the demonstration was to identify differences in the interventions and targeting that might explain any observed variation in effects. Our “Comment” section focused on these differences.
Brown R, Peikes D, Chen A. Evaluating Care Coordination Among Medicare Beneficiaries—Reply. JAMA. 2009;301(24):2547-2548. doi:10.1001/jama.2009.874