Improvements in Transitional Care Among Medicaid-Insured Patients With Serious Mental Illness.

This was a small pilot, and the authors say the sample size could have reduced power and led to statistical nonsignificance. There was no non-Thrive comparison group, so the study cannot show that Thrive changed outcomes compared with usual care. Thrive bundled many services, including skilled nursing, physical therapy, occupational therapy, social work, community health workers, physician or advanced practice provider follow-up, virtual care nurse case conferences, and postacute care connections, so the contribution of any single component cannot be separated. The qualitative sample was only 5 participants, and the authors could not assess data saturation. Participants known to be in active psychoses were not pursued for interviews, so the views of some people with serious mental illness may be missing. The authors used only basic group comparisons, not adjusted analyses, because it was a pilot and the sample was small.

The authors declared no conflicts of interest.

Do not conclude that Thrive reduced readmissions or emergency department visits. There was no non-Thrive comparison group, and the study only compared participants with and without serious mental illness who had all completed the same program.