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Randomized Controlled Study Using Text Messages to Help Connect New Medicaid Beneficiaries to Primary Care by Levine, David M. (author);Kakani, Pragya (author);Mehrotra, Ateev (author) is a Medicine article available to read on EtoBox.

What is Randomized Controlled Study Using Text Messages to Help Connect New Medicaid Beneficiaries to Primary Care about?

## Abstract Accessing primary care is often difficult for newly insured Medicaid beneficiaries. Tailored text messages may help patients navigate the health system and initiate care with a primary care physician. We conducted a randomized controlled trial of tailored text messages with newly enrolled Medicaid managed care beneficiaries. Text messages included education about the importance of primary care, reminders to obtain an appointment, and resources to help schedule an appointment. Within 120 days of enrollment, we examined completion of at least one primary care visit and use of the emergency department. Within 1 year of enrollment, we examined diagnosis of a chronic disease, receipt of preventive care, and use of the emergency department. 8432 beneficiaries (4201 texting group; 4231 control group) were randomized; mean age was 37 years and 24% were White. In the texting group, 31% engaged with text messages. In the texting vs control group after 120 days, there were no differences in having one or more primary care visits (44.9% vs. 45.2%; difference, −0.27%; p = 0.802) or emergency department use (16.2% vs. 16.0%; difference, 0.23%; p = 0.771). After 1 year, there were no

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Author

Levine, David M. (author);Kakani, Pragya (author);Mehrotra, Ateev (author)

Publisher

Springer Science and Business Media LLC

Published

2021

Language

EN

Field

Medicine (Health Sciences)