Evaluation of the Comprehensive Primary Care Initiative

Summary

This study assesses the effects of the Centers for Medicare and Medicaid Services' Comprehensive Primary Care (CPC) initiative on physician practices, practice staff, Medicare and Medicaid costs and service utilization, quality of care, and patient outcomes. CPC provides financial resources, timely feedback on key practice outcomes, and a learning network to support practice transformation to improve quality of care and lower costs.

Conditions

• Medicare Expenditures, Quality of Care

Interventions

OTHER

care management fee

for each Medicare beneficiary attributed to the practice, the practice received a monthly care management fee

OTHER

feedback reports

Each participating practice received quarterly reports showing the practice's trend in key outcomes during the pre-intervention and intervention periods. The risk adjusted average Medicare expenditures of their patients were also shown in relation to all of the other CPC practices in their region, and to those with a similar average risk profile. Unadjusted hospitalization rates and emergency room visits were also plotted over time and compared to those of other CPC practices in the region

OTHER

technical assistance

CPC practices could ask for technical assistance on transformation activities from a regional learning faculty (RLF). The RLF also provided seminars and other learning activities, as well as provided a forum for participating practices to share lessons they had learned.

Sponsors & Collaborators

• Centers for Medicare and Medicaid Services

  collaborator FED

• Mathematica Policy Research, Inc.

  lead OTHER

Principal Investigators

• deborah peikes, PhD · Mathematica Policy Research

• Timothy Day, MPP · Centers for Medicare & Medicaid Services

Study Design

Allocation

NON_RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Model

PARALLEL

Eligibility

Min Age

21 Years

Sex

ALL

Healthy Volunteers

Yes

Timeline & Regulatory

Start

2012-07-31

Primary Completion

2017-07-31

Completion

2018-05-31

Countries

• United States

Study Locations