Evaluation of the Comprehensive Primary Care Initiative: Appendix to the Third Annual Report
U.S. Department of Health and Human Services, Centers for Medicare & Medicaid Services
U.S. Department of Health and Human Services, Center for Medicare & Medicaid Innovation
- Payer and practice participation remained relatively stable during the first three years of CPC. However, although small, the number of practice withdrawals increased during the final months of PY2015, with most of these practices leaving to join Medicare accountable care organizations (ACOs).
- CMS and other participating payers continued to provide significant support for CPC practices and, in general, practices found these supports helped them accomplish the required work.
- Based on data from our practice survey, CPC practices’ approach to risk-stratified care management is more advanced than that of comparison practices. CPC practices' approaches to other aspects of care delivery are slightly more advanced than comparison practices.
- Improvements in CPC practices’ care delivery between the start of CPC and the third program year (2015) had few statistically significant associations with reductions in hospitalizations, ED visits, expenditures, and other outcomes over the same time period.