Journal Article

Two-Year Costs and Quality in the Comprehensive Primary Care Initiative

Brown, Randall, Ghosh, Arkadipta, O’Malley, Ann S, Taylor, Erin Fries, Rajkumar, Rahul, Swankoski, Kaylyn, Yoon, Frank B, Peikes, Deborah N, Dale, Stacy B, Sessums, Laura, Conway, Patrick H, Day, Timothy J, Press, Matthew J

2016

Overview

The Centers for Medicare and Medicaid Services launched the 4-year Comprehensive Primary Care Initiative to support transformations in primary care delivery. After 2 years, practices have changed care delivery but have not yet reduced costs or substantially improved quality. Fee-for-service payments give providers the incentive to favor volume over value in the delivery of health care and can produce fragmented care that often lacks coordination, is not patient-centered, and is not proactive in population health management. 1 – 3 Although efforts to improve the delivery of care through changes in primary care (e.g., the use of patient-centered medical homes [PCMHs]) have expanded rapidly in recent years, 4 , 5 early evidence of their effect on the quality and cost of health care is mixed. 6 In October 2012, the Centers for Medicare and Medicaid Services (CMS), in collaboration with 39 private and public payers, . . .

• Publisher: Massachusetts Medical Society
• Subject: Centers for Medicare and Medicaid Services (U.S.) / Comprehensive Health Care / Disease management / Fee-for-Service Plans - economics / Health Care Costs / Health care delivery / Health care expenditures / Health economics / Humans / Medicare / Medicare - economics / Medicare - standards / Primary care / Primary Health Care - economics / Primary Health Care - organization & administration / Primary Health Care - standards / Quality of care / Quality of Health Care / Risk groups / United States