Staffing Patterns of Comprehensive Primary Care Practices (cpc)

Mathematica Policy Research

Status: Completed

Conditions: Medicare Expenditures and Hospital Use, All Conditions

Treatments: Other: Comprehensive primary care

Study type: Observational

Funder types: Other

Identifiers

NCT01827189

cpc32813

Details and patient eligibility

About

Examines staff size and composition of the 496 advanced primary care practices participating in CMS's comprehensive primary care initiative, in 7 regions (states or local areas) that were selected for the demonstration.

Full description

Participating practices all have electronic health records, submitted applications to participate in this demonstration program designed to improve primary care practices, and were selected as the most advanced of the applicants in terms of use of health information technology and certification as a medical home or possessing features similar to those of a medical home. Participating practices will receive monthly payments from Centers for Medicare & Medicaid (CMS) for Medicare patients attributed to the practice, and from other payers in the market taht are participating in the initiative. The demonstration began in October 2012 and will continue for 4 years. This early paper focuses on describing these practices at the outset of the demonstration.

Enrollment: 15,000 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• All Medicare fee-for-service patients who receive the majority of their Evaluation and Management visits from one of the study practices.

Exclusion criteria

• none.

Trial design

15,000 participants in 2 patient groups

Comprehensive primary care practices

Description:

Comprehensive primary care practices are the intervention group.

Treatment:

Other: Comprehensive primary care

Comparison practices

Description:

Comparison practices are the case-control group--the matched set of practices in a comparison area--whose patients' outcomes will be compared to those of intervention practices.