Evaluation of the Multi-Payer Advanced Primary Care Practice (MAPCP) Demonstration: Final Report

Research Report

Evaluation of the Multi-Payer Advanced Primary Care Practice (MAPCP) Demonstration: Final Report

Abstract

This report presents findings from the evaluation of CMS’s first multi-payer patient-centered medical home (PCMH) demonstration, which ran in eight states from 2011-2014. Participating states designed their own practice entry requirements, demonstration payments models, and technical assistance for practices – making this demonstration essentially eight demonstrations in one. Medicare’s payments were capped at $10 PBPM, on average; Medicaid and private payers offered similar payments. In interviews, participating providers reported extensive transformations to how they practice, and credited the care managers they had hired as having a positive impact on their high-need patients. Ultimately, four states generated net savings for Medicare, and four generated net losses. Impacts on utilization and care quality were also mixed across states.

Read the full publication here (leaving Urban's web site)

Research Area: 

Centers

To reuse content from Urban Institute, visit copyright.com, search for the publications, choose from a list of licenses, and complete the transaction.