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Home Research Research Library Family Practices in Transforming Clinical Practice Initiative Showed No Changes in Medicare Costs or Utilization Family Practices in Transforming Clinical Practice Initiative Showed No Changes in Medicare Costs or Utilization 2022 Author(s) Dai, Mingliang, Chung, YoonKyung, Peterson, Lars E, Petterson, Stephen M, and Phillips, Robert L Topic(s) Role of Primary Care Keyword(s) Practice Innovations Volume Medical Care Source Medical Care BACKGROUND: The Centers for Medicare and Medicaid Services proposed that the Transforming Clinical Practice Initiative (TCPI) would improve health outcomes for patients, reduce utilization of institutional services, and generate significant savings for payers by the end of September 2019. OBJECTIVE: The objective of this study was to investigate whether participation in TCPI’s Practice Transformation Networks (PTNs) was associated with improved cost and utilization outcomes for Medicare patients of family medicine-based practices in the first 2 years, that is, 2016-2017, of the Initiative. STUDY DESIGN: A quasi-experimental design with a longitudinal cohort of family medicine-based practices and a propensity-matched comparison sample. SUBJECTS: A total of 761 PTN practices and 3451 non-PTN practices. MEASURES: To measure practice-level patient outcomes, we attributed patients to practice based on the plurality of office visits. We obtained Medicare claims from 2011 to 2017 to assess PTN participation effects for Medicare Part A and B costs, hospital admission, and emergency department visit rates using a Difference-in-Differences design, adjusting for baseline characteristics. RESULTS: The differences in Medicare Part A and B costs (-1.71%, P=0.25), annual rates of hospitalization (-0.59%, P=0.12) and emergency department visit (-0.29%, P=0.46) were not significantly lower among PTN practices (N=761) than among propensity score-matched non-PTN practices (N=3541). CONCLUSIONS: TCPI’s transforming efforts, such as the outcomes examined in the study, might need a longer time frame to manifest and require evaluation after the full 4-year participation period. The indistinguishable effect of PTN participation may also be attributed to the fact that non-PTN practices might have participated in other initiatives that changed their care and curbed health care utilization and costs consequently. Read More ABFM Research Read all 2021 Lower Likelihood of Burnout Among Family Physicians From Underrepresented Racial-Ethnic Groups Go to Lower Likelihood of Burnout Among Family Physicians From Underrepresented Racial-Ethnic Groups 2022 Competencies for the Use of Artificial Intelligence in Primary Care Go to Competencies for the Use of Artificial Intelligence in Primary Care 2016 Supporting Health Reform in Mexico: Experiences and Suggestions from an International Primary Health Care Conference Go to Supporting Health Reform in Mexico: Experiences and Suggestions from an International Primary Health Care Conference 2019 Declining Presence of Family Physicians in Hospital-Based Care: A Major Concern or Totally Makes Sense? Go to Declining Presence of Family Physicians in Hospital-Based Care: A Major Concern or Totally Makes Sense?
Author(s) Dai, Mingliang, Chung, YoonKyung, Peterson, Lars E, Petterson, Stephen M, and Phillips, Robert L Topic(s) Role of Primary Care Keyword(s) Practice Innovations Volume Medical Care Source Medical Care
ABFM Research Read all 2021 Lower Likelihood of Burnout Among Family Physicians From Underrepresented Racial-Ethnic Groups Go to Lower Likelihood of Burnout Among Family Physicians From Underrepresented Racial-Ethnic Groups 2022 Competencies for the Use of Artificial Intelligence in Primary Care Go to Competencies for the Use of Artificial Intelligence in Primary Care 2016 Supporting Health Reform in Mexico: Experiences and Suggestions from an International Primary Health Care Conference Go to Supporting Health Reform in Mexico: Experiences and Suggestions from an International Primary Health Care Conference 2019 Declining Presence of Family Physicians in Hospital-Based Care: A Major Concern or Totally Makes Sense? Go to Declining Presence of Family Physicians in Hospital-Based Care: A Major Concern or Totally Makes Sense?
2021 Lower Likelihood of Burnout Among Family Physicians From Underrepresented Racial-Ethnic Groups Go to Lower Likelihood of Burnout Among Family Physicians From Underrepresented Racial-Ethnic Groups
2022 Competencies for the Use of Artificial Intelligence in Primary Care Go to Competencies for the Use of Artificial Intelligence in Primary Care
2016 Supporting Health Reform in Mexico: Experiences and Suggestions from an International Primary Health Care Conference Go to Supporting Health Reform in Mexico: Experiences and Suggestions from an International Primary Health Care Conference
2019 Declining Presence of Family Physicians in Hospital-Based Care: A Major Concern or Totally Makes Sense? Go to Declining Presence of Family Physicians in Hospital-Based Care: A Major Concern or Totally Makes Sense?
