Evaluation of the Comprehensive Primary Care Plus (CPC+) Model
研究概览
详细说明
This project is a large, seven-year mixed-methods evaluation of the Comprehensive Primary Care Plus (CPC+) Model, sponsored by the Centers for Medicare & Medicaid Services (CMS). CPC+ aims to improve the delivery of primary care; patients' cost, service use, and quality of care; and the experiences of patients, practitioners, and staff. It aims to achieve these goals by helping practices transform across five key care delivery functions: (1) access and continuity, (2) care management, (3) comprehensiveness and coordination, (4) patient and caregiver engagement, and (5) planned care and population health.
The national model includes two rounds, each of which will last for five years. Round 1 will take place from January 2017 through December 2021 and Round 2 from January 2018 through December 2022. A total of 2,877 primary care practices are participating in Round 1. The number of Round 2 practices will not be confirmed until September 2017.
From practices that applied to participate, CMS selected those that provide primary care, met specific certified health information technology (health IT) requirements, and were already engaging in certain care delivery activities. The CPC+ model includes two transformation tracks with incrementally advanced care delivery requirements and payment options. Participating practices will receive financial payments from CMS, including a monthly care management fee and prospective performance-based incentive payment, on top of traditional payments. Some practices will also receive some payment that shifts away from fee-for-service. In addition, practices will receive payments from other participating payers, representing a large proportion of their total revenue. CPC+ practices will receive learning support, data feedback, and health IT support to promote transformation.
To estimate the effect of CPC+, the investigators will compare the outcomes over time for CPC+ practices with the outcomes over time for a group of comparison practices. The investigators selected the comparison practices by identifying practices that matched the CPC+ practices on key characteristics. The investigators expect to include up to 8,397 comparison practices in Round 1.
The investigators will estimate the impact of CPC+ on patient outcomes by tracking the patients who are attributed to a study practice based on receiving most of their evaluation and management care from that practice. The investigators expect to include approximately 5,326,531 attributed patients across the CPC+ and comparison practices in Round 1 (the number of attributed patients for the Round 2 practices is to be determined). Analyses of Medicare (and in some regions Medicaid) claims data for patients attributed to the CPC+ and comparison practices will be conducted to estimate impacts on Medicare expenditures, our primary outcome, and service use and quality of care.
The investigators will also estimate the impact of CPC+ on practice care delivery approaches, and patient, practitioner, and staff experience. The investigators will administer a practice survey to the practice managers of all the study practices to track changes in care delivery and practice characteristics. The investigators will measure patient experience through a survey administered to Medicare fee-for-service beneficiaries attributed to the study practices. Changes in work environment and practitioner and staff experience with CPC+ will be measured through a survey of primary care practitioners of the study practices and staff of the CPC+ practices. For the Round 1 practices, the investigators expect to administer 11,244 practice surveys, 20,000 patient surveys, 10,996 practitioner surveys, and 10,429 staff surveys, The sample sizes for surveys for the Round 2 practices are to be determined. Telephone interviews and site visits will be conducted with CPC+ payers; practitioners and staff in the practices, and, if relevant, the systems and medical groups that own them; patients; and other stakeholders to understand what was implemented, and barriers and facilitators to implementation and improved outcomes.
研究类型
注册 (预期的)
阶段
- 不适用
参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
- All Medicare fee-for-service patients who receive the largest share of their evaluation and management visits from one of the study primary care practices.
- Practice managers, practitioners, and staff of the study primary care practices.
Exclusion Criteria: None
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学习计划
研究是如何设计的？
设计细节
- 主要用途：卫生服务研究
- 分配：非随机化
- 介入模型：并行分配
- 屏蔽：无（打开标签）
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
实验性的：CPC+ practices
This is the intervention group, and includes the practices that were selected and agreed to participate in the CPC+ model.
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CPC+ practices receive a monthly care management fee and prospective performance-based incentive payment on top of traditional payments.
Some practices will also receive some payment that shifts away from fee-for-service.
In addition, CPC+ practices will receive learning and health IT support and data feedback to implement processes to meet care delivery requirements and achieve five primary care functions.
|
|
无干预：Comparison practices
Comparison practices are the control group.
This group includes practices not participating in the model that were matched to the CPC+ practices and whose outcomes will be compared to those of the CPC+ practices.
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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Total Part A and Part B claims paid by Medicare in 2017
大体时间：12 months
|
Total claims paid by Medicare for for physician services (primary care physician services, specialist services, and services provided by noninstitutional providers), inpatient hospital services, outpatient services, skilled nursing facility, durable medical equipment, hospice, and home health
|
12 months
|
|
Total Part A and Part B claims paid by Medicare in 2018
大体时间：24 months
|
Total claims paid by Medicare for physician services (primary care physician services, specialist services, and services provided by noninstitutional providers), inpatient hospital services, outpatient services, skilled nursing facility, durable medical equipment, hospice, and home health
|
24 months
|
|
Total Part A and Part B claims paid by Medicare in 2019
大体时间：36 months
|
Total claims paid by Medicare for physician services (primary care physician services, specialist services, and services provided by noninstitutional providers), inpatient hospital services, outpatient services, skilled nursing facility, durable medical equipment, hospice, and home health
|
36 months
|
|
Total Part A and Part B claims paid by Medicare in 2020
大体时间：48 months
|
Total claims paid by Medicare for physician services (primary care physician services, specialist services, and services provided by noninstitutional providers), inpatient hospital services, outpatient services, skilled nursing facility, durable medical equipment, hospice, and home health
|
48 months
|
|
Total Part A and Part B claims paid by Medicare in 2021
大体时间：60 months
|
Total claims paid by Medicare for physician services (primary care physician services, specialist services, and services provided by noninstitutional providers), inpatient hospital services, outpatient services, skilled nursing facility, durable medical equipment, hospice, and home health
|
60 months
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Claims paid by Medicare in 2017 by type of service and service utilization
大体时间：12 months
|
Claims paid by Medicare for each of following: physician services (primary care physician services, specialist services, and services provided by noninstitutional providers), inpatient hospital services, outpatient services, skilled nursing facility, durable medical equipment, hospice, and home health
|
12 months
|
|
Claims paid by Medicare in 2018 by type of service and service utilization
大体时间：24 months
|
Claims paid by Medicare for each of following: physician services (primary care physician services, specialist services, and services provided by noninstitutional providers), inpatient hospital services, outpatient services, skilled nursing facility, durable medical equipment, hospice, and home health
|
24 months
|
|
Claims paid by Medicare in 2019 by type of service and service utilization
大体时间：36 months
|
Claims paid by Medicare for each of following: physician services (primary care physician services, specialist services, and services provided by noninstitutional providers), inpatient hospital services, outpatient services, skilled nursing facility, durable medical equipment, hospice, and home health
|
36 months
|
|
Claims paid by Medicare in 2020 by type of service and service utilization
大体时间：48 months
|
Claims paid by Medicare for each of following: physician services (primary care physician services, specialist services, and services provided by noninstitutional providers), inpatient hospital services, outpatient services, skilled nursing facility, durable medical equipment, hospice, and home health
|
48 months
|
|
Claims paid by Medicare in 2021 by type of service and service utilization
大体时间：60 months
|
Claims paid by Medicare for each of following: physician services (primary care physician services, specialist services, and services provided by noninstitutional providers), inpatient hospital services, outpatient services, skilled nursing facility, durable medical equipment, hospice, and home health
|
60 months
|
|
Claims paid by Medicaid in 2017
大体时间：12 months
|
Claims paid by Medicaid for physician services (primary care physician services, specialist services, and services provided by noninstitutional providers), inpatient hospital services, outpatient services, skilled nursing facility, durable medical equipment, hospice, and home health
|
12 months
|
|
Claims paid by Medicaid in 2018
大体时间：24 months
|
Claims paid by Medicaid for physician services (primary care physician services, specialist services, and services provided by noninstitutional providers), inpatient hospital services, outpatient services, skilled nursing facility, durable medical equipment, hospice, and home health
|
24 months
|
|
Claims paid by Medicaid in 2019
大体时间：36 months
|
Claims paid by Medicaid for physician services (primary care physician services, specialist services, and services provided by noninstitutional providers), inpatient hospital services, outpatient services, skilled nursing facility, durable medical equipment, hospice, and home health
|
36 months
|
|
Claims paid by Medicaid in 2020
大体时间：48 months
|
Claims paid by Medicaid for physician services (primary care physician services, specialist services, and services provided by noninstitutional providers), inpatient hospital services, outpatient services, skilled nursing facility, durable medical equipment, hospice, and home health
|
48 months
|
|
Claims paid by Medicaid in 2021
大体时间：60 months
|
Claims paid by Medicaid for physician services (primary care physician services, specialist services, and services provided by noninstitutional providers), inpatient hospital services, outpatient services, skilled nursing facility, durable medical equipment, hospice, and home health
|
60 months
|
|
Quality-of-care process measures for 2017 based on claims data
大体时间：12 months
|
Quality-of-care outcome measures based on claims data (including 30-day hospital readmissions, rate of hospitalizations for ambulatory care sensitive admissions, and likelihood of emergency department revisits)
|
12 months
|
|
Quality-of-care process measures for 2018 based on claims data
大体时间：24 months
|
Quality-of-care outcome measures based on claims data (including 30-day hospital readmissions, rate of hospitalizations for ambulatory care sensitive admissions, and likelihood of emergency department revisits)
|
24 months
|
|
Quality-of-care process measures for 2019 based on claims data
大体时间：36 months
|
Quality-of-care outcome measures based on claims data (including 30-day hospital readmissions, rate of hospitalizations for ambulatory care sensitive admissions, and likelihood of emergency department revisits)
|
36 months
|
|
Quality-of-care process measures for 2020 based on claims data
大体时间：48 months
|
Quality-of-care outcome measures based on claims data (including 30-day hospital readmissions, rate of hospitalizations for ambulatory care sensitive admissions, and likelihood of emergency department revisits)
|
48 months
|
|
Quality-of-care process measures for 2021 based on claims data
大体时间：60 months
|
Quality-of-care outcome measures based on claims data (including 30-day hospital readmissions, rate of hospitalizations for ambulatory care sensitive admissions, and likelihood of emergency department revisits)
|
60 months
|
|
Patient experience
大体时间：24 months
|
Self-reported measures of patient experience with primary care practitioner and practice
|
24 months
|
|
Patient experience
大体时间：36 months
|
Self-reported measures of patient experience with primary care practitioner and practice
|
36 months
|
|
Patient experience
大体时间：60 months
|
Self-reported measures of patient experience with primary care practitioner and practice
|
60 months
|
|
Practitioner and staff experience
大体时间：24 months
|
Self-reported measures of approaches to delivery of primary care and work experience at practice
|
24 months
|
|
Practitioner and staff experience
大体时间：48 months
|
Self-reported measures of approaches to delivery of primary care and work experience at practice
|
48 months
|
|
Practice's care delivery
大体时间：12 months
|
Self-reported measures of practice approaches to delivery of primary care
|
12 months
|
|
Practice's care delivery
大体时间：24 months
|
Self-reported measures of practice approaches to delivery of primary care
|
24 months
|
|
Practice's care delivery
大体时间：36 months
|
Self-reported measures of practice approaches to delivery of primary care
|
36 months
|
|
Practice's care delivery
大体时间：48 months
|
Self-reported measures of practice approaches to delivery of primary care
|
48 months
|
|
Practice's care delivery
大体时间：60 months
|
Self-reported measures of practice approaches to delivery of primary care
|
60 months
|
合作者和调查者
调查人员
- 研究主任：Deborah Peikes, Ph.D.、Mathematica Policy Research
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (预期的)
研究完成 (预期的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
与本研究相关的术语
其他研究编号
- CPCPlus2017
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计划共享个人参与者数据 (IPD)？
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