Healthcare Business News

CMS to evaluate advanced primary-care demo

By Jessica Zigmond
Posted: May 30, 2012 - 12:15 pm ET

The CMS will evaluate a primary-care demonstration project it established nearly three years ago to determine whether the model should be expanded under the Medicare program.

In mid-September 2009, the CMS announced the Multi-Payer Advanced Primary Care Practice, or MAPCP, demonstration, for which Medicare joined with Medicaid and private insurers as payers in state-sponsored initiatives to promote advanced primary care—often referred to as the patient-centered medical-home model. Maine, Michigan, Minnesota, New York, North Carolina, Pennsylvania, Rhode Island and Vermont are the eight states participating in the demonstration.

For its evaluation, according to a notice (PDF) slated to be posted Thursday in the Federal Register, the CMS will collect qualitative and quantitative data and has asked for public comment on its data-collection practices. The data is intended to help the agency answer research questions that focus on the structure of the state initiatives and how the programs have been implemented as well as practice characteristics and results, including measures pertaining to healthcare access, care coordination, clinical quality, and Medicare and Medicaid expenditures.

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"This information will help CMS decide whether the MAPCP demonstration model should be expanded under Medicare, and, if so, what modifications and supports would be needed to implement similar innovations in other states and practices in the future," the notice states.

The CMS will accept comments up until 60 days after the May 31 posting in the Federal Register.

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