New Approaches to Measuring the Comprehensiveness of Primary Care Physicians

New Approaches to Measuring the Comprehensiveness of Primary Care Physicians

Published: Apr 01, 2019
Publisher: Health Services Research, vol. 54, no. 2
Download
Authors

Ann S. O'Malley

Eugene C. Rich

Lisa Shang

Tyler Rose

Dmitriy Poznyak

This Health Services Research study aimed to develop claims‐based measures of comprehensiveness of primary care physicians (PCPs) and summarize their associations with health care utilization and cost. Researchers developed Medicare claims‐based measures of physician comprehensiveness (involvement in patient conditions and new problem management) and used a previously developed range of services measure. They analyzed the association of PCPs’ comprehensiveness in 2013 with their beneficiaries’ emergency department, hospitalizations rates, and ambulatory care‐sensitive condition (ACSC) admissions (each per 1000 beneficiaries per year), and Medicare expenditures (per beneficiary per month) in 2014, adjusting for beneficiary, physician, practice, and market characteristics, and clustering. The study found the measures demonstrate strong content and predictive validity and reliability. In sum, Medicare beneficiaries of PCPs providing more comprehensive care had lower hospitalization rates, ED visits, and total Medicare expenditures.

Follow the Evidence

Interested in the most current findings from Mathematica? Subscribe to our bi-weekly newsletter, Evidence & Insights, to stay up to date with the issues that matter to you.

Sign Me Up