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The Impact of a Health Information Technology-Focused Patient-centered Medical Neighborhood Program Among Medicare Beneficiaries in Primary Care Practices: The Effect on Patient Outcomes and Spending.
- Source :
-
Medical care [Med Care] 2018 Apr; Vol. 56 (4), pp. 299-307. - Publication Year :
- 2018
-
Abstract
- Background: The Center for Medicare & Medicaid Innovation (CMMI) tests new models of paying for or delivering health care services and expands models that improve health outcomes while lowering medical spending. CMMI gave TransforMED, a national learning and dissemination contractor, a 3-year Health Care Innovation Award (HCIA) to integrate health information technology systems into physician practices. This paper estimates impacts of TransforMED's HCIA-funded program on patient outcomes and Medicare parts A and B spending.<br />Research Design: We compared outcomes for Medicare fee-for-service (FFS) beneficiaries served by 87 treatment practices to outcomes for Medicare FFS beneficiaries served by 286 matched comparison practices, adjusting for differences in outcomes between the 2 groups during a 1-year baseline period. We estimated impacts in 3 evaluation outcome domains: quality-of-care processes, service use, and spending.<br />Results: We estimated the program led to a 7.1% reduction in inpatient admissions and a 5.7% decrease in the outpatient emergency department visits. However, there was no evidence of statistically significant effects in outcomes in either the quality-of-care processes or spending domains.<br />Conclusions: These results indicate that TransforMED's program reduced service use for Medicare FFS beneficiaries, but also show that the program did not have statistically significant favorable impacts in the quality-of-care processes or spending domains. These results suggest that providing practices with population health management and cost-reporting software-along with technical assistance for how to use them-can complement practices' own patient-centered medical home transformation efforts and add meaningfully to their impacts on service use.
- Subjects :
- Continuity of Patient Care
Emergency Service, Hospital statistics & numerical data
Fee-for-Service Plans
Female
Health Expenditures statistics & numerical data
Humans
Insurance Claim Review
Male
Medical Informatics organization & administration
Patient Admission statistics & numerical data
Patient-Centered Care organization & administration
Primary Health Care organization & administration
Quality Indicators, Health Care
Quality of Health Care statistics & numerical data
United States
Medical Informatics statistics & numerical data
Medicare economics
Medicare statistics & numerical data
Patient-Centered Care statistics & numerical data
Primary Health Care statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1537-1948
- Volume :
- 56
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Medical care
- Publication Type :
- Academic Journal
- Accession number :
- 29462078
- Full Text :
- https://doi.org/10.1097/MLR.0000000000000880