ArticleAnnals of family medicine2020
Participation in the Comprehensive Primary Care Plus Initiative.
Article in Annals of family medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled 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.
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
18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.
- Federal Investment in Primary Care Transformation: A Systematic Review and Qualitative Analysis.JAMA health forum · 2025Pooled it
- The Contribution of Citizens to Community-Based Medical Education in Japan: A Systematic Review.International journal of environmental research and public health · 2021Pooled it
- Care Transformation Organization Partnerships Are Associated with Increased Care Management Capabilities Among MDPCP Primary Care Practices.Journal of general internal medicine · 2026Article
- Geographical variation in physician supply and its relationship to utilization of care across older adults in the United States.Health affairs scholar · 2025Article
- Comprehensive care management variation between rural and nonrural Maryland Primary Care Program (MDPCP) practices.Health affairs scholar · 2025Article
- Changes in US Primary Care Access and Capabilities During the COVID-19 Pandemic.JAMA health forum · 2025Article
- Access to Mental Health and Substance Use Treatment in Comprehensive Primary Care Plus.JAMA network open · 2024Article
- Hospital outpatient department billing is a poor indicator of primary care practice integration with hospital systems.Health services research · 2024Article
- The Comprehensive Primary Care Plus Model and Health Care Spending, Service Use, and Quality.JAMA · 2024Article
- Participation in a Medicare advanced primary care model and the delivery of high-value services.Health services research · 2023Article
- Racial-Ethnic Composition of Primary Care Practices and Comprehensive Primary Care Plus Initiative Participation.Journal of general internal medicine · 2023Article
- Medicare beneficiaries with more comprehensive primary care physicians report better primary care.Health services research · 2023Article
- Perspectives on Challenges and Opportunities for Interoperability: Findings From Key Informant Interviews With Stakeholders in Ohio.JMIR medical informatics · 2023Article
- Updating a Claims-Based Measure of Low-Value Services Applicable to Medicare Fee-for-Service Beneficiaries.Journal of general internal medicine · 2022Article
- The Relationship between the Presence of White Nails and Mortality among Rural, Older, Admitted Patients: A Prospective Cohort Study.Healthcare (Basel, Switzerland) · 2021Article
- Practice-site-level measures of primary care comprehensiveness and their associations with patient outcomes.Health services research · 2021Article
- Communication Gaps Persist Between Primary Care and Specialist Physicians.Annals of family medicineArticle
- The Role of Medicare Alternative Payment Models in Supporting the Essential Features of Primary Care.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
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeComprehensive Primary Care Plus (CPC+) is the largest test of primary care payment and delivery reform. This program aims to strengthen primary care via enhanced and alternative payment, data feedback, learning, and health information technology support for practice transformation for more than 3,000 practices. We analyzed participation rates and how CPC+ practices differ from other primary care practices in CPC+ regions.
methodsWe assembled a unique data set describing all US primary care practices and compared primary care practices in CPC+ regions, CPC+ applicants, and CPC+ participants. Among CPC+ participants, we compared across 2 model tracks.
resultsOf the primary care practices in CPC+ regions, 22% applied for CPC+ and 15% participated. Practices that applied to CPC+ were diverse, but they were generally larger, more sophisticated electronic health record users, more likely to be owned by a hospital or health system, more likely to have experience with transformation efforts, and more likely to be in urban areas than practices that did not apply. Applicants also generally served slightly healthier and more advantaged Medicare fee-for-service beneficiaries. Differences between practices that applied but did not join CPC+ and CPC+ participants were smaller yet systematic.
conclusionsParticipants in CPC+ are diverse but not representative of all primary care practices, underscoring the need to further engage practices that are small, independent, in rural areas, and lack experience with practice and payment transformation models, as well as the need to extrapolate evaluation results carefully.
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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.