Actively Recruiting
Evaluation of AI Cost Prediction Model to Enroll Patients in Complex Care Management Program
Led by University of California, Los Angeles · Updated on 2026-01-29
5000
Participants Needed
1
Research Sites
90 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Currently, UCLA Health (specifically the Office of Population Health and Accountable Care, or OPHAC) runs a complex care management program called Proactive Care (goal is to reduce care utilization by providing personalized care navigation/case management). Every month, an AI Population Risk tool runs to identify around 250 of the 480,000 or so UCLA primary care patients, and RNs contact these 250 patients to enroll in Proactive Care. Starting in December 2024, OPHAC launched a new method of enrolling UCLA's Medicare Advantage (MA) patients into Proactive Care: an AI Cost Prediction model. The idea is the same-- the top 250 highest predicted cost patients will be enrolled in Proactive Care. The investigators will evaluate this model and subsequent enrollment into the program by randomizing the waitlist of MA patients waiting to enroll in Proactive Care, thereby creating a control group. The top 500 highest predicted cost patients will be identified each month, and following a 1:1 randomization, 250 will be contacted for enrollment and the rest will be put on a wait-list control group for 10 months unless otherwise requested by their provider to be enrolled in the Proactive Care program earlier.
CONDITIONS
Official Title
Evaluation of AI Cost Prediction Model to Enroll Patients in Complex Care Management Program
Who Can Participate
Eligibility Criteria
You may qualify if you...
- At least 18 years of age
- Enrolled in a UCLA Managed Care Plan
- Identified by the cost prediction model as having high predicted costs over the next 12 months
You will not qualify if you...
- Currently enrolled in any UCLA care management program
- Enrolled in any UCLA care management program in the last 12 months
- Already has an active referral to a care management program
AI-Screening
AI-Powered Screening
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Trial Site Locations
Total: 1 location
1
UCLA Health
Los Angeles, California, United States, 90095
Actively Recruiting
Research Team
R
Richard K Leuchter, MD
CONTACT
W
William Turner, BA
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
DOUBLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
PREVENTION
Number of Arms
2
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