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来源类型Publication
Evaluation of the Comprehensive Primary Care Initiative: Appendix to the Third Annual Report
Deborah Peikes; Grace Anglin; Erin Fries Taylor; Stacy Dale; Ann O'; Malley; Arkadipta Ghosh; Kaylyn Swankoski; Lara Converse; Rosalind Keith; Mariel Finucane; Jesse Crosson; Anne Mutti; Thomas Grannemann; Aparajita Zutshi; and Randall Brown
发表日期2016-12-30
出版者Princeton, NJ: Mathematica Policy Research
出版年2016
语种英语
概述This article describes the impacts for Medicare fee-for-service beneficiaries’ cost, service use, quality of care, and patient experience of the first three years of the Comprehensive Primary Care (CPC) initiative.",
摘要

Key Findings:

  • Payer and practice participation remained relatively stable during the first three years of CPC. However, although small, the number of practice withdrawals increased during the final months of PY2015, with most of these practices leaving to join Medicare accountable care organizations (ACOs).
  • CMS and other participating payers continued to provide significant support for CPC practices and, in general, practices found these supports helped them accomplish the required work.
  • Based on data from our practice survey, CPC practices’ approach to risk-stratified care management is more advanced than that of comparison practices. CPC practices' approaches to other aspects of care delivery are slightly more advanced than comparison practices.
  • Improvements in CPC practices’ care delivery between the start of CPC and the third program year (2015) had few statistically significant associations with reductions in hospitalizations, ED visits, expenditures, and other outcomes over the same time period.
In October 2012, the Center for Medicare & Medicaid Innovation of the Centers for Medicare & Medicaid Services (CMS), in a unique collaboration between public and private health care payers, launched the Comprehensive Primary Care (CPC) initiative to improve primary care delivery in seven regions across the United States. CPC requires that practices meet annual milestones that help them build the capability to deliver CPC’s five functions: (1) access and continuity, (2) planned chronic and preventive care, (3) risk-stratified care management, (4) patient and caregiver engagement, and (5) coordination of care across the medical neighborhood. To help participating practices achieve these functions, CPC offers three main supports: enhanced payment, data feedback, and learning activities and technical assistance. The substantial transformation involved in executing these functions is expected to achieve better health care, better health outcomes, and lower costs. This third annual report to CMS describes the implementation and impacts of CPC over its first three years.
URLhttps://www.mathematica.org/our-publications-and-findings/publications/evaluation-of-the-comprehensive-primary-care-initiative-appendix-to-the-third-annual-report
来源智库Mathematica Policy Research (United States)
资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/488736
推荐引用方式
GB/T 7714
Deborah Peikes,Grace Anglin,Erin Fries Taylor,et al. Evaluation of the Comprehensive Primary Care Initiative: Appendix to the Third Annual Report. 2016.
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CPC Third Annual Rep(5704KB)智库出版物 限制开放CC BY-NC-SA浏览
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文件名: CPC Third Annual Report Appendix.pdf
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