Beyond the Clinic Family Medicine on a Mission Part 1: How Air Force Physicians Achieve Humanitarian Goals Read Family Medicine on a Mission Part 1: How Air Force Physicians Achieve Humanitarian Goals
Phoenix Newsletter - March 2025 President’s Message: ABFM’s Unwavering Commitment to Diplomates and the Specialty Read President’s Message: ABFM’s Unwavering Commitment to Diplomates and the Specialty
Home Research Research Library Physician versus Practice-Level Primary Care Continuity and Association with Outcomes in Medicare Beneficiaries Physician versus Practice-Level Primary Care Continuity and Association with Outcomes in Medicare Beneficiaries 2022 Author(s) Yang, Zhou, Ganguli, Ishani, Davis, Caitlin S, Dai, Mingliang, Shuemaker, Jill C, Peterson, Lars E, Bazemore, Andrew W, Phillips, Robert L, and Chung, YoonKyung Topic(s) Role of Primary Care, and Achieving Health System Goals Keyword(s) Measurement, Payment, and Quality Of Care Volume Health Services Research Source Health Services Research OBJECTIVE: To compare physician versus practice-level primary care continuity and their association with expenditure and acute care utilization among Medicare beneficiaries and evaluate if continuity of outpatient primary care at either/both physician or/and practice level could be useful quality measures. DATA SOURCE: Medicare Fee-For-Service claims data for community dwelling beneficiaries without End-Stage Renal Disease who were attributed to a national random sample of primary care practices billing Medicare (2011-2017). STUDY DESIGN: Retrospective secondary data analysis at per Medicare beneficiary per year level. We used multivariable linear regression with practice-level fixed effects to estimate continuity of care score at physician vs. practice level and their associations with outcomes. DATA COLLECTION/EXTRACTION METHOD: We calculated clinician and practice level Bice-Boxerman continuity of care index scores, ranging from 0 to 1, using primary care outpatient claims. Medicare expenditures, hospital admissions, emergency department visits, and readmissions were obtained from the Medicare Beneficiary Summary File: Cost and Utilization Segment. Ambulatory care sensitive conditions (ACSC) were defined using diagnosis codes on inpatient claims. PRINCIPAL FINDINGS: We studied 2,359,400 beneficiaries who sought care from 13,926 physicians. Every 0.1 increase in physician continuity score was associated with a $151 reduction in expenditures per beneficiary per year (P<0.01), and every 0.1 increase in practice continuity score was associated with $282 decrease (P<0.01) per beneficiary per year. Both physician- and practice-level continuity were associated with lower Medicare expenditures among small, medium, and large practices. Both physician- and practice-level continuity were associated with lower probabilities of hospitalization, emergency department visit, admissions for ACSC, and readmission. CONCLUSIONS: Primary care continuity of care could serve as a potent value-based care quality metric. Physician-level continuity is a unique value center that cannot be supplanted by practice level continuity. Read More ABFM Research Read all 2015 Family medicine graduate proximity to their site of training: policy options for improving the distribution of primary care access Go to Family medicine graduate proximity to their site of training: policy options for improving the distribution of primary care access 2011 Rewarding family medicine while penalizing comprehensiveness? Primary care payment incentives and health reform: the Patient Protection and Affordable Care Act (PPACA) Go to Rewarding family medicine while penalizing comprehensiveness? Primary care payment incentives and health reform: the Patient Protection and Affordable Care Act (PPACA) 2022 Competencies for the Use of Artificial Intelligence in Primary Care Go to Competencies for the Use of Artificial Intelligence in Primary Care 2020 Shaping Keystones in a Time of Transformation: ABFM’s Efforts to Advance Leadership & Scholarship in Family Medicine Go to Shaping Keystones in a Time of Transformation: ABFM’s Efforts to Advance Leadership & Scholarship in Family Medicine
Author(s) Yang, Zhou, Ganguli, Ishani, Davis, Caitlin S, Dai, Mingliang, Shuemaker, Jill C, Peterson, Lars E, Bazemore, Andrew W, Phillips, Robert L, and Chung, YoonKyung Topic(s) Role of Primary Care, and Achieving Health System Goals Keyword(s) Measurement, Payment, and Quality Of Care Volume Health Services Research Source Health Services Research
ABFM Research Read all 2015 Family medicine graduate proximity to their site of training: policy options for improving the distribution of primary care access Go to Family medicine graduate proximity to their site of training: policy options for improving the distribution of primary care access 2011 Rewarding family medicine while penalizing comprehensiveness? Primary care payment incentives and health reform: the Patient Protection and Affordable Care Act (PPACA) Go to Rewarding family medicine while penalizing comprehensiveness? Primary care payment incentives and health reform: the Patient Protection and Affordable Care Act (PPACA) 2022 Competencies for the Use of Artificial Intelligence in Primary Care Go to Competencies for the Use of Artificial Intelligence in Primary Care 2020 Shaping Keystones in a Time of Transformation: ABFM’s Efforts to Advance Leadership & Scholarship in Family Medicine Go to Shaping Keystones in a Time of Transformation: ABFM’s Efforts to Advance Leadership & Scholarship in Family Medicine
2015 Family medicine graduate proximity to their site of training: policy options for improving the distribution of primary care access Go to Family medicine graduate proximity to their site of training: policy options for improving the distribution of primary care access
2011 Rewarding family medicine while penalizing comprehensiveness? Primary care payment incentives and health reform: the Patient Protection and Affordable Care Act (PPACA) Go to Rewarding family medicine while penalizing comprehensiveness? Primary care payment incentives and health reform: the Patient Protection and Affordable Care Act (PPACA)
2022 Competencies for the Use of Artificial Intelligence in Primary Care Go to Competencies for the Use of Artificial Intelligence in Primary Care
2020 Shaping Keystones in a Time of Transformation: ABFM’s Efforts to Advance Leadership & Scholarship in Family Medicine Go to Shaping Keystones in a Time of Transformation: ABFM’s Efforts to Advance Leadership & Scholarship in Family Medicine