Evaluation of the Comprehensive Primary Care Plus (CPC+) Model

NCT03411785 | Unknown

• 1 other identifier: CPCPlus2017
• Study Type: interventional
• Target: 5,326,531
• Locations: 0 countries
• Sites: N/A

Brief Summary

The Comprehensive Primary Care Plus (CPC+) Model, sponsored by the Centers for Medicare \& Medicaid Services (CMS), is a multipayer advanced primary care model. CPC+ aims to strengthen primary care by transforming how primary care practices deliver care, supported by regionally based multipayer payment reform, learning support, data feedback, and health information technology (health IT) support. The CPC+ evaluation will assess how CPC+ was implemented; how practices transformed care; and the effects on cost, service use, quality of care, and the experiences of patients, primary care practitioners, and staff. The evaluation will also identify facilitators and barriers to implementation and improved outcomes.

Conditions

All Conditions

Outcome Measures

Primary Outcomes (5)

• Total Part A and Part B claims paid by Medicare in 2017

  Total claims paid by Medicare for for physician services (primary care physician services, specialist services, and services provided by noninstitutional providers), inpatient hospital services, outpatient services, skilled nursing facility, durable medical equipment, hospice, and home health

  12 months

• Total Part A and Part B claims paid by Medicare in 2018

  Total claims paid by Medicare for physician services (primary care physician services, specialist services, and services provided by noninstitutional providers), inpatient hospital services, outpatient services, skilled nursing facility, durable medical equipment, hospice, and home health

  24 months

• Total Part A and Part B claims paid by Medicare in 2019

  Total claims paid by Medicare for physician services (primary care physician services, specialist services, and services provided by noninstitutional providers), inpatient hospital services, outpatient services, skilled nursing facility, durable medical equipment, hospice, and home health

  36 months

• Total Part A and Part B claims paid by Medicare in 2020

  Total claims paid by Medicare for physician services (primary care physician services, specialist services, and services provided by noninstitutional providers), inpatient hospital services, outpatient services, skilled nursing facility, durable medical equipment, hospice, and home health

  48 months

• Total Part A and Part B claims paid by Medicare in 2021

  Total claims paid by Medicare for physician services (primary care physician services, specialist services, and services provided by noninstitutional providers), inpatient hospital services, outpatient services, skilled nursing facility, durable medical equipment, hospice, and home health

  60 months

Secondary Outcomes (25)

• Claims paid by Medicare in 2017 by type of service and service utilization

  12 months

• Claims paid by Medicare in 2018 by type of service and service utilization

  24 months

• Claims paid by Medicare in 2019 by type of service and service utilization

  36 months

• Claims paid by Medicare in 2020 by type of service and service utilization

  48 months

• Claims paid by Medicare in 2021 by type of service and service utilization

  60 months

Study Arms (2)

CPC+ practices

EXPERIMENTAL

This is the intervention group, and includes the practices that were selected and agreed to participate in the CPC+ model.

Other: CPC+ model

Comparison practices

NO INTERVENTION

Comparison practices are the control group. This group includes practices not participating in the model that were matched to the CPC+ practices and whose outcomes will be compared to those of the CPC+ practices.

Interventions

CPC+ model OTHER

CPC+ practices receive a monthly care management fee and prospective performance-based incentive payment on top of traditional payments. Some practices will also receive some payment that shifts away from fee-for-service. In addition, CPC+ practices will receive learning and health IT support and data feedback to implement processes to meet care delivery requirements and achieve five primary care functions.

CPC+ practices

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• All Medicare fee-for-service patients who receive the largest share of their evaluation and management visits from one of the study primary care practices.
• Practice managers, practitioners, and staff of the study primary care practices.

Sponsors & Collaborators

• Mathematica Policy Research, Inc.: lead
• Centers for Medicare and Medicaid Services: collaborator

Study Officials

• Deborah Peikes, Ph.D.

  Mathematica Policy Research

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 5, 2017
• First Posted: January 26, 2018
• Study Start: January 1, 2017
• Primary Completion: December 1, 2022
• Study Completion: June 1, 2023
• Last Updated: January 26, 2018

Record last verified: 2018-01

Data Sharing

• IPD Sharing: Will not share