This Health Affairs article describes primary care delivery system reform models that were developed and tested over the past decade by the Center for Medicare and Medicaid Innovation—which was created by the Affordable Care Act—and reflect on key lessons and remaining challenges.
Related Content
Related Publications for Erin Taylor
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The Changing Landscape of Primary Care: Effects of the ACA and Other Efforts Over the Past DecadeMar 02, 2020
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Aggregating Claims Data Across Payers: Approaches, Challenges, and Lessons Learned from the Comprehensive Primary Care InitiativeJan 01, 2020
The Comprehensive Primary Care (CPC) initiative fueled the emergence of new organizational alliances and financial commitments among payers and primary care practices to use data for performance improvement.
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The Effects of a Primary Care Transformation Initiative on Primary Care Physician Burnout and Workplace ExperienceJan 01, 2019
This article summarizes results from a study of how the Comprehensive Primary Care initiative affected primary care physician experience.
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Uses and Limitations of Claims-Based Performance Feedback Reports: Lessons from the Comprehensive Primary Care InitiativeJul 01, 2018
Performance feedback is central to data-driven models of quality improvement, but the use of claims-based data for feedback has received little attention.
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The Comprehensive Primary Care Initiative: Effects on Spending, Quality, Patients, and PhysiciansJun 30, 2018
This study evaluates the effect of the Comprehensive Primary Care (CPC) initiative on care delivery and outcomes for fee-for-service Medicare beneficiaries over four years. CPC practices made improvements in care delivery, but did not reduce Medicare spending enough to cover care management fees.
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Evaluation of the Comprehensive Primary Care Initiative: Fourth Annual ReportMay 23, 2018
This is the fourth and final report evaluating the four-year Comprehensive Primary Care (CPC) initiative, which was launched by the Center for Medicare & Medicaid Innovation (CMMI) of the Centers for Medicare & Medicaid Services (CMS) to improve primary care delivery, health care quality, and patient...
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Evaluation of the Comprehensive Primary Care Initiative Fourth Annual Report AppendixMay 23, 2018
This is the appendix to the fourth and final report evaluating the four-year Comprehensive Primary Care (CPC) initiative, which was launched by the Center for Medicare & Medicaid Innovation (CMMI) of the Centers for Medicare & Medicaid Services (CMS) to improve primary care delivery, health care quality,...
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Strengthening Multipayer Collaboration: Lessons from the Comprehensive Primary Care InitiativeSep 12, 2017
With increasing frequency, public and private payers are joining forces to align goals and resources for primary care transformation.
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Using the Consolidated Framework for Implementation Research (CFIR) to Produce Actionable Findings: A Rapid-Cycle Evaluation Approach to Improving ImplementationFeb 28, 2017
The CFIR is a useful tool for guiding rapid-cycle evaluation of the implementation of practice transformation initiatives.
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Evaluation of the Comprehensive Primary Care Initiative: Appendix to the Third Annual ReportDec 30, 2016
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.
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Evaluation of the Comprehensive Primary Care Initiative: Third Annual ReportDec 30, 2016
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.
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Two-Year Costs and Quality in the Comprehensive Primary Care InitiativeJun 16, 2016
This article describes the impacts for Medicare fee-for-service beneficiaries’ cost, service use, quality of care, and patient experience of the first two years of the Comprehensive Primary Care (CPC) initiative.
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Evaluation of the Comprehensive Primary Care Initiative: Appendix to the Second Annual ReportApr 13, 2016
This is the appendix for the report describing the implementation and impacts of the Comprehensive Primary Care initiative over its first two years.
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Evaluation of the Comprehensive Primary Care Initiative: Second Annual ReportApr 13, 2016
This report describes the implementation and impacts of the Comprehensive Primary Care initiative over its first two years.
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How a Practice Facilitator Can Support Your Practice (Tip Sheet)Mar 23, 2015
Primary care can be considered the cornerstone of effective and efficient health care that meets the needs of patients, families, and communities.
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Engaging Primary Care Practices in Quality Improvement: Strategies for Practice Facilitators (Executive Summary)Mar 23, 2015
Primary care can be considered the cornerstone of effective and efficient health care that meets the needs of patients, families, and communities.
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Engaging Primary Care Practices in Quality Improvement: Strategies for Practice FacilitatorsMar 23, 2015
Primary care can be considered the cornerstone of effective and efficient health care that meets the needs of patients, families, and communities.
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A Guide to Real-World Evaluations of Primary Care Interventions: Some Practical AdviceOct 30, 2014
The Agency for Healthcare Research and Quality (AHRQ) has released a new Evaluation Guide for designing real-world evaluations of interventions such as the patient-centered medical home (PCMH) and other models to improve primary care delivery.
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Evaluation of the Business Case for Quality, Phase IIMay 30, 2013
The Business Case for Quality, Phase II (BCQII) initiative sought to develop targeted, rigorous, and actionable evidence on improvements in the quality of care and the return on investment (ROI) that may be generated to multiple stakeholders if financial incentives are aligned and health care delivery...
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The Logic Model: The Foundation to Implement, Study, and Refine Patient-Centered Medical Home Models (Issue Brief)Mar 30, 2013
This brief focuses on using logic models to evaluate patient-centered medical home (PCMH) models.
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Developing and Running a Primary Care Practice Facilitation Program: A How-To GuideDec 30, 2011
Working with the Agency for Healthcare Research and Quality and LA Net, we developed a manual on creating and implementing successful practice implementation programs.
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Evaluation of Healthy San FranciscoAug 25, 2011
This report summarizes a comprehensive evaluation of Healthy San Francisco, a program for uninsured adults ages 18 to 64.
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Coordinating Care in the Medical Neighborhood: Critical Components and Available MechanismsJun 30, 2011
This white paper examines key components in the medical neighborhood and how the patient-centered medical home is situated within it. It also addresses barriers to a well-functioning neighborhood, the tools available to achieving one, and the strengths and weaknesses of each tool.
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The Roles of Patient-Centered Medical Homes and Accountable Care Organizations in Coordinating Patient CareDec 30, 2010
This brief describes the importance of different care coordination activities in improving patient outcomes. It also explores ways that the patient-centered medical home and accountable care organizations can coordinate care.