Medicare Expenditures and Hospital Use, All Conditions
Conditions
Keywords
primary care, Medicare costs, hospitalizations
Brief summary
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.
Detailed 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.
Interventions
OTHERComprehensive primary care
Practices participating in the comprehensive primary care initiative receive a monthly amount from Centers for Medicare and Medicaid Services for each attributed Medicare patient, plus technical support of a learning collaborative, and can share in any net savings generated.
Sponsors
Mathematica Policy Research, Inc.
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
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.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Medicare expenditures per year for patients attributed to the practice | Four years |
Secondary
| Measure | Time frame |
|---|---|
| number of preventable hospitalizations | four years |
Other
| Measure | Time frame |
|---|---|
| number of emergency room admissions | four years |
Outcome results
None listed