Evidence map›Paper›PMID 35808929›Full record

ArticleHealth services research2022

Primary care physicians' participation in the Medicare shared savings program and preventive services delivery: Evidence from the first 7 years.

Huang Huang, Xi Zhu, George L Wehby

Registry-linked trialAbstract read
In one paragraph

Article in Health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06287801 (Supporting Practices In Respecting Elders Phase 1), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

NCT06287801 nacompletednot on this mapstarted 2024, after this paper: background citation

Supporting Practices In Respecting Elders Phase 1

TypeinterventionalSponsorMassachusetts General HospitalRan2024 to 2025Enrolled110ConditionsHealthy Aging, Health Care Utilization, Health-Related BehaviorArmsAnnual Wellness Visit, Geriatric Resources and Assessment for the Care of Elders
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Accountable care organizations and Medicare payments for residents with ADRD in disadvantaged neighborhoods.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025
    Article
  3. Article
  4. Article
  5. Article
  6. 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

3 authors.

Huang HuangDepartment of Health Management and Policy, University of Iowa College of Public Health, Iowa City, Iowa, USA.ORCID 0000-0002-9654-1594
Xi ZhuDepartment of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, California, USA.ORCID 0000-0003-2194-7327
George L WehbyDepartment of Health Management and Policy, University of Iowa College of Public Health, Iowa City, Iowa, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate whether primary care physicians' participation in the Medicare Shared Savings Program (MSSP) is associated with changes in their preventive services delivery. DATA SOURCES: Medicare Provider Utilization and Payment Physician and Other Supplier Public Use File and MSSP Accountable Care Organizations (ACO) Provider-Level Research Identifiable File from 2012 to 2018. STUDY

designThe design was a two-way fixed effects model estimating within-provider changes in preventive services delivery over time controlling for provider time-invariant characteristics, national time trends, and characteristics of served patients. The following preventive services were evaluated: influenza vaccination, pneumococcal vaccination, clinical depression screening, colorectal cancer screening, breast cancer screening, Body Mass Index (BMI) screening and follow-up, tobacco use assessment, and annual wellness visits. Both the likelihood of providing services and the volume of services delivered were evaluated. DATA COLLECTION/EXTRACTION

methodsSecondary data linked at the provider level. PRINCIPAL

findingsMSSP participation was associated with an increase in the likelihood of providing influenza vaccination (0.7 percentage-points), pneumococcal vaccination (2.0 percentage-points), clinical depression screening (2.1 percentage-points), tobacco use assessment (0.3 percentage-points), and annual wellness visits (4.1 percentage-points). A similar increase was found for the volume of services delivered per 100 patients for several preventive services: influenza vaccination (0.18), pneumococcal vaccination (0.56), clinical depression screening (0.46), and annual wellness visits (1.52). MSSP participation was associated with a decrease in the likelihood (-0.4 percentage-points) and the volume of colorectal cancer screening (-0.03).

conclusionsPrimary care physicians' participation in MSSP was associated with an increase in the likelihood and the volume of several preventive services.

Indexed as

Accountable Care OrganizationsColorectal NeoplasmsInfluenza, HumanPhysicians, Primary CareAgedCost SavingsHumansMedicareUnited Statesaccountable care organizationshealth care deliveryMedicareMedicare shared savings programpreventive care

Identifiers

PMID35808929
PMCPMC9441290

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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.