Evidence map›Paper›PMID 29298177›Full record

ArticleThe Journal of ambulatory care management

Offsetting Patient-Centered Medical Homes Investment Costs Through Per-Member-Per-Month or Medicare Merit-based Incentive Payment System Incentive Payments.

Briget da Graca, Gerald O Ogola, Cliff Fullerton, Russell McCorkle, Neil S Fleming

Abstract read
In one paragraph

Article in The Journal of ambulatory care management. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Briget da GracaCenter for Clinical Effectiveness (Ms da Graca and Drs Ogola and Fleming), Baylor Scott & White Health, Dallas, Texas (Dr Fullerton); Robbins Institute for Health Policy & Leadership, Baylor University, Waco, Texas (Ms da Graca and Dr Fleming); Baylor Scott & White Quality Alliance, Dallas, Texas (Dr Fullerton); and HealthTexas Provider Network, Dallas, Texas (Mr McCorkle).
Gerald O Ogola
Cliff Fullerton
Russell McCorkle
Neil S Fleming

Funding

Costs of Transforming Established Primary Care Practices to Patient-Centered MediR03HS022621 · AHRQ · BAYLOR RESEARCH INSTITUTE · PI FLEMING, NEIL STEWART · 2013 to 2013
$100k
AHRQ HHS R03 HS022621
6 · The paper itself

Abstract

Primary care practices become patient-centered medical homes (PCMHs) to improve care. However, investment costs and opportunities to offset those costs are critical to the decision. We examined potential offsets through commercial payer per-member-per-month (PMPM) payments and the Medicare Merit-based Incentive Payment System (MIPS) for a network that spent $4 818 260 over 4 years obtaining and renewing PCMH recognition for 57 practices. With PMPM payments of $3.37 to $8.98, "breakeven" requires that 2.4% to 6.4% of the network's 1645 commercially insured patients per physician be covered, while applying MIPS incentive payments of half the maximum available each year to the network's average 2016 Medicare reimbursement of $196 812 per physician showed they would exceed PCMH costs by 2022.

Indexed as

MedicareReimbursement, IncentiveCosts and Cost AnalysisHumansInvestmentsPatient-Centered CareReimbursement MechanismsUnited States

Identifiers

PMID29298177
PMCPMC5939953

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.