CPC+, a national multipayer primary care improvement model developed by CMS, is the largest and most ambitious primary care and delivery reform ever tested in the United States. Mathematica is independently evaluating CPC+ implementation, impacts, and implications for sustainability and spread.
- Primary care redesign and transformation
- Program and policy evaluation
- Quality improvement
- Health services research
- Delivery System Reforms
Kristin Geonnotti has expertise in primary care redesign and transformation, the patient-centered medical home, and quality of care. She works on numerous mixed methods evaluations of health policies and programs, focused largely on evaluating delivery system redesign initiatives.
Geonnotti’s work on large federal evaluations for the Centers for Medicare & Medicaid Services (CMS) includes both Medicare claims analyses and implementation evaluations. She is a site leader for two evaluations of the Health Care Innovation Awards, which focus on a range of health care delivery and payment reforms that aim to achieve better quality of care; improve population health; and lower costs for Medicare, Medicaid, and Children’s Health Insurance Program beneficiaries. For an evaluation of the Comprehensive Primary Care Initiative, she helps produce quarterly reports for rapid-cycle feedback to about 500 primary care practices and has developed claims-based quality measures.
She has also examined strategies for improving the delivery of primary care through medical homes for the Agency for Healthcare Research and Quality. Her research contributions include a paper describing strategies for practice facilitators (coaches) to engage primary care practices in ongoing quality improvement and a guide on developing practice facilitation programs. In addition, Geonnotti has provided technical assistance to states and payers on best practices for collecting and analyzing performance measures related to medical homes implementation.
Geonnotti joined Mathematica in 2010. She holds a Ph.D. in health policy and management from the University of North Carolina at Chapel Hill.
Evaluating the Nation's Largest Primary Care Delivery Model: Comprehensive Primary Care Plus (CPC+)
Improving Patient Centered Medical Home Research, Evaluation, and Implementation
This project aims to strengthen primary care by providing information on how to implement, evaluate, and refine models to improve primary care, as well as how to effectively train practice facilitators.
HCIA Evaluations: Primary Care Redesign
Mathematica evaluated the 14 primary care redesign programs, which operate at different levels (that is, physician practices, hospitals, or health systems). The evaluation team assessed improvements in the coordination, efficiency, and quality of patient care.