ArticleHealth affairs (Project Hope)2020
Medicare's Care Management Codes Might Not Support Primary Care As Expected.
Article in Health affairs (Project Hope), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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.
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.
Who cites it
13 citing papers in PubMed.
- Billing for Comprehensive Dementia Care Services Among Traditional Medicare Beneficiaries: Implications for the GUIDE Model.Journal of the American Geriatrics Society · 2026Article
- Patient Perspectives of Care Integration During Early Implementation of a Care Coordination Initiative.Medical care research and review : MCRR · 2026Article
- Informing Advanced Primary Care Management: Trends From Care Coordination Among Medicare Beneficiaries in 2020-2023.The Permanente journal · 2025Article
- Medicare transitional care management services' association with readmissions and mortality.Health affairs scholar · 2024Article
- Trends and Disparities in Ambulatory Follow-Up After Cardiovascular Hospitalizations : A Retrospective Cohort Study.Annals of internal medicine · 2024Article
- Use of chronic care management service among Medicare beneficiaries in 2015-2019.Journal of the American Geriatrics Society · 2024Article
- Medicare Transitional Care Management Program and Changes in Timely Postdischarge Follow-Up.JAMA health forum · 2024Article
- Article
- Hepatic Encephalopathy-Related Hospitalizations in Cirrhosis: Transition of Care and Closing the Revolving Door.Digestive diseases and sciences · 2022Review
- Comparison of Estimated Incentives for Preventing Postpartum Depression in Value-Based Payment Models Using the Net Present Value of Care vs Total Cost of Care.JAMA network open · 2022Article
- Trends in Outpatient Care for Medicare Beneficiaries and Implications for Primary Care, 2000 to 2019.Annals of internal medicine · 2021Article
- Payment Discrepancies and Access to Primary Care Physicians for Dual-eligible Medicare-Medicaid Beneficiaries.Medical care · 2021Article
- Assessing Patient Readiness for Hospital Discharge, Discharge Communication, and Transitional Care Management.Journal of the American Board of Family Medicine : JABFMArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
To enhance compensation for primary care activities that occur outside of face-to-face visits, the Centers for Medicare and Medicaid Services recently introduced new billing codes for transitional care management (TCM) and chronic care management (CCM) services. Overall, rates of adoption of these codes have been low. To understand the patterns of adoption, we compared characteristics of the practices that billed for these services to those of the practices that did not and determined the extent to which a practice other than the beneficiary's usual primary care practice billed for the services. Larger practices and those using other novel billing codes were more likely to adopt TCM or CCM. Over a fifth of all TCM claims and nearly a quarter of all CCM claims were billed by a practice that was not the beneficiary's assigned primary care practice. Our results raise concerns about whether these codes are supporting primary care as originally expected.
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What OpenQuestion holds
Registered trials
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.