全球智库信息集成服务系统(G2TT): Association Between Extending CareFirst's Medical Home Program to Medicare Patients and Quality of Care, Utilization, and Spending

G2TT

来源类型	Publication
	Association Between Extending CareFirst's Medical Home Program to Medicare Patients and Quality of Care, Utilization, and Spending
	G. Greg Peterson; Kristin Lowe Geonnotti; Lauren Hula; Timothy Day; Laura Blue; Keith Kranker; Boyd Gilman; Kate Stewart; Sheila Hoag; and Lorenzo Moreno
发表日期	2017-09-01
出版者	JAMA Internal Medicine, vol. 177, no. 9
出版年	2017
语种	英语
概述	CareFirst, the largest commercial insurer in the mid-Atlantic Region of the United States, runs a medical home program focusing on financial incentives for primary care practices and care coordination for high-risk patients.",
摘要	Key Findings In a difference-in-differences analysis with 52 intervention practices and matched comparison practices, the program was not associated with outcome improvements for Medicare patients. Hospitalizations declined by 10%, but this was matched by similar changes in the comparison group, suggesting that outside market factors drove the decline in the treatment group. The extension of CareFirst’s program to Medicare did not measurably improve quality-of-care processes or reduce service use or spending for Medicare patients. Further program refinement and testing are needed to support scaling the program more broadly to Medicare patients. CareFirst, the largest commercial insurer in the mid-Atlantic Region of the United States, runs a medical home program focusing on financial incentives for primary care practices and care coordination for high-risk patients. From 2013 to 2015, CareFirst extended the program to Medicare fee-for-service (FFS) beneficiaries in participating practices. If the model extension improved quality while reducing spending, the Centers for Medicare and Medicaid Services could expand the program to Medicare beneficiaries broadly.
URL	https://www.mathematica.org/our-publications-and-findings/publications/association-between-extending-carefirsts-medical-home-program
来源智库	Mathematica Policy Research (United States)
资源类型	智库出版物
条目标识符	http://119.78.100.153/handle/2XGU8XDN/488999
推荐引用方式 GB/T 7714	G. Greg Peterson,Kristin Lowe Geonnotti,Lauren Hula,et al. Association Between Extending CareFirst's Medical Home Program to Medicare Patients and Quality of Care, Utilization, and Spending. 2017.