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来源类型Journal Article
规范类型其他
Characteristics of Patient-Centered Medical Home Initiatives that Generated Savings for Medicare: a Qualitative Multi-Case Analysis
Rachel A. Burton; Nicole Cafarella Lallemand; Rebecca Peters; Stephen Zuckerman
发表日期2018-02-05
出版年2018
语种英语
概述This journal article presents findings from CMS’s Multi-Payer Advanced Primary Care Practice (MAPCP) Demonstration – through which Medicare, Medicaid, and private payers offered supplemental payments to 849 primary care practices. Since there was variation in the eight participating states’ demonstration designs, experiences, and outcomes, we used a case-ordered predictor-outcome matrix to identify the factors
摘要
This journal article presents findings from CMS’s Multi-Payer Advanced Primary Care Practice (MAPCP) Demonstration – through which Medicare, Medicaid, and private payers offered supplemental payments to 849 primary care practices. Since there was variation in the eight participating states’ demonstration designs, experiences, and outcomes, we used a case-ordered predictor-outcome matrix to identify the factors that differentiated states that generated net savings for Medicare from the states that did not. A majority of the states that generated savings: required practices to be recognized patient-centered medical homes to enter the demonstration; did not allow late entrants into the demonstration; used a consistent demonstration payment model across payers; and offered practices opportunities to earn performance bonuses. Practices in states that generated savings also reported receiving demonstration payments and bonuses as expected, without any issues. Designers of future medical home initiatives may increase their likelihood of generating savings by incorporating the initiative features we identified.

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主题Health and Health Policy
URLhttps://www.urban.org/research/publication/characteristics-patient-centered-medical-home-initiatives-generated-savings-medicare-qualitative-multi-case-analysis
来源智库Urban Institute (United States)
资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/480075
推荐引用方式
GB/T 7714
Rachel A. Burton,Nicole Cafarella Lallemand,Rebecca Peters,et al. Characteristics of Patient-Centered Medical Home Initiatives that Generated Savings for Medicare: a Qualitative Multi-Case Analysis. 2018.
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