Research Report Evaluation of the Multi-Payer Advanced Primary Care Practice (MAPCP) Demonstration: Final Report
Stephen Zuckerman, Rachel A. Burton, Robert A. Berenson, Nicole Cafarella Lallemand, Rebecca Peters, Kelly J. Devers
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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.

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Research Areas Health and health care
Tags Federal health care reform Health care delivery and payment Medicaid and the Children’s Health Insurance Program  State health care reform Medicare
Policy Centers Health Policy Center