Evaluation of the Comprehensive Primary Care Initiative: Fourth 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
- CPC practices reported improved primary care delivery, such as care management for high-risk patients, enhanced access, and improved coordination after care transitions.
- CPC slowed growth in emergency department visits by 2 percent relative to the comparison group. CPC also slowed growth in hospitalizations by 2 percent relative to the comparison group, though this finding was statistically significant only at the 10 percent level.
- Similar to the earlier two-year results, Medicare expenditures grew more slowly for the CPC group than for the comparison group; however this change in Medicare expenditures was not enough to offset the initiative’s care management fees.
- CPC did not appreciably improve or worsen physician or beneficiary experience or practice performance on a limited set of Medicare claims-based quality measures.