Four years of practice transformation toward comprehensive primary care had little effect on patient experience.
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Patient Experience During a Large Primary Care Practice Transformation InitiativeDec 12, 2018
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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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Care Coordination for Children with Special Needs in Medicaid: Lessons from MedicareApr 16, 2018
As increasing numbers of children with special healthcare needs move into Medicaid managed care, health plans can improve care coordination using evidence from Medicare.
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Adapting Evaluations of Alternative Payment Models to a Changing EnvironmentApr 01, 2018
The authors assess the impact of widespread testing of alternative payment models on the ability to find credible comparison groups.
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Development and Validation of the Modified Patient-Centered Medical Home Assessment for the Comprehensive Primary Care InitiativeApr 01, 2018
To describe the modified Patient-Centered Medical Home Assessment (M-PCMH-A) survey module developed to track primary care practices’ care delivery approaches over time, assess whether its underlying factor structure is reliable, and produce factor scores that provide a more reliable summary measure...
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Analytical Methods for a Learning Health System: 3. Analysis of Observational StudiesDec 07, 2017
The third paper in a series on how learning health systems can use routinely collected electronic health data (EHD) to advance knowledge and support continuous learning, this review describes how analytical methods for individual-level electronic health data EHD, including regression approaches, interrupted...
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Looking at the Centers for Medicare and Medicaid Services Research Designs in a New ContextMay 30, 2017
With the recent widespread implementation of alternative payment models (APMs), strong designs are needed more than ever to provide evidence for policy decisions about model expansion, modification, or termination for Center for Medicare and Medicaid Innovation (Innovation Center) initiatives.
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Patient Experience Midway Through a Large Primary Care Practice Transformation InitiativeMar 15, 2017
The study examines how experience changed between the first and second years of Comprehensive Primary Care (CPC), how ratings of CPC practices have changed relative to ratings of comparison practices, and areas in which practices still have opportunities to improve patient experience.
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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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Testing the Replicability of a Successful Care Management Program: Results from a Randomized Trial and Likely Explanations for Why Impacts Did Not ReplicateDec 01, 2016
Even if demonstrated in a randomized trial, successful results from one test may not replicate in other settings or time periods.
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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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Staffing Patterns of Primary Care Practices in the Comprehensive Primary Care InitiativeMar 30, 2014
This article describes staffing patterns for nearly 500 primary care practices in the Centers for Medicare & Medicaid Services Comprehensive Primary Care initiative before the initiative began.
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Impacts of Waiting Periods for Home- and Community-Based Services on Consumers and Medicaid Long-Term Care Costs in IowaJan 01, 2014
Using a quasi-experimental design, this study assessed the effects of waiting periods on the costs of Medicaid long-term care and the risk of long-term nursing home stays and hospitalizations.
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Efficient Orthogonal Designs: Testing the Comparative Effectiveness of Alternative Ways of Implementing Patient-Centered Medical Home Components (Issue Brief)Mar 30, 2013
This brief focuses on using efficient orthogonal designs to evaluate patient-centered medical home (PCMH) models.
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The Effects of Transitional Care Models on Re-Admissions: A Review of the Current Evidence (Journal Article)Jan 30, 2013
Reviews the evidence for six promising models being implemented by the Centers for Medicare and Medicaid Services' Community-based Care Transitions Program (CCTP) awardees.
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How Changes in Washington University's Medicare Coordinated Care Demonstration Pilot Ultimately Achieved SavingsJun 30, 2012
This article analyzed the experiences of the School of Medicine’s care-management program as it took part in the Medicare Coordinated Care Demonstration, with the goal of reducing hospitalizations and Medicare spending or improving quality while remaining cost neutral.
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Six Features of Medicare Coordinated Care Demonstration Programs that Cut Hospital Admissions of High-Risk Patients (Journal Article)Jun 30, 2012
This article identifies a high-risk subgroup of Medicare beneficiaries in the Medicare Coordinated Care Demonstration for which 4 of the 11 participating programs significantly reduced hospitalizations, and the distinguishing features of those successful programs.
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Orthogonal Design: A Powerful Method for Comparative Effectiveness Research with Multiple InterventionsApr 30, 2012
Orthogonal design affords an opportunity to design interventions in real-world settings and to study intervention components that can be implemented in various ways.
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Effects of Care Coordination on Hospitalization, Quality of Care, and Health Care Expenditures Among Medicare Beneficiaries: 15 Randomized TrialsFeb 28, 2009
Presents findings from the third report to Congress on the Medicare Coordinated Care Demonstration.
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Third Report to Congress on the Evaluation of the Medicare Coordinated Care DemonstrationJan 03, 2008
Beneficiaries with chronic diseases account for nearly two-thirds of all Medicare expenditures.
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Cash and Counseling: Improving the Lives of Medicaid Beneficiaries Who Need Personal Care or Home- and Community-Based ServicesAug 30, 2007
To address the needs of Medicaid beneficiaries who are elderly or disabled and desire greater control over their personal care, the federal government has encouraged states to offer consumer-directed options.
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The National Evaluation of the Welfare-to-Work Grants ProgramSep 01, 2004
This final report presents descriptive findings from Mathematica's study of enrollees during the two years after they entered a welfare-to-work program.
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The Effects of Cash and Counseling on Personal Care Services and Medicaid Costs in ArkansasNov 19, 2003
The Cash and Counseling Demonstration gives Medicaid beneficiaries who are eligible for personal care services a consumer-directed allowance in lieu of traditional agency services.