ArticleJournal of the American Board of Family Medicine : JABFM
The Role of Medicare Alternative Payment Models in Supporting the Essential Features of Primary Care.
Article in Journal of the American Board of Family Medicine : JABFM. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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
1 citing paper in PubMed.
- Point-of-Care Ultrasound, Prevention and Screening, Family Medicine Workforce, Navigating Systems, and Improving Patient 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
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe Centers for Medicare & Medicaid Services (CMS) has launched multiple alternative payment models (APMs) to address limitations with fee-for-service payments in traditional Medicare (TM), including challenges of TM in supporting high-quality primary care.
methodsUsing Medicare claims, CMS data on APM participation, and publicly available data, we examined the association between primary care physician (PCP) participation in TM APMs between 2017 and 2022 and the essential primary care features of accessibility, comprehensiveness, continuity, and coordination.
results38.1% of PCPs in our analysis participated in at least 1 of 14 APMs during the study period. Based on a difference-in-differences analysis, we found that participation in APMs was significantly associated with improved outcomes on various key primary care dimensions. Of TM APMs assessed, hybrid payment models with no financial risk showed a significant association with improvement in all measures of the 4 essential features of primary care, both on measures that passed the parallel trends test as well as those that did not.
conclusionsOverall participation in APMs is significantly associated with improved PCP outcomes on measures of various essential features of primary care. Of TM APMs assessed, only hybrid payment models with no financial risk showed a significant association with PCP improvement on all essential features of primary care. While methodological limitations preclude asserting a causal relationship, these findings support continued efforts to improve primary care for Medicare beneficiaries through hybrid payments to practices without imposing downside financial risk on PCPs.
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