Ignite Creation Date:
2024-10-25 @ 8:01 PM
Last Modification Date:
2024-10-26 @ 3:41 PM
Study NCT ID:
NCT06617533
Status:
ACTIVE_NOT_RECRUITING
Last Update Posted:
None
First Post:
2024-09-25
Brief Title:
Evaluation of the Primary Care First Model
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Evaluation of the Primary Care First Model
Status:
ACTIVE_NOT_RECRUITING
Status Verified Date:
2024-09
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
PCF
Brief Summary:
The Primary Care First PCF Model sponsored by the Center for Medicare Medicaid Innovation Innovation Center of the Centers for Medicare Medicaid Services CMS is a multipayer advanced primary care model that aims to strengthen primary care by transforming how primary care practices deliver care The PCF evaluation will assess how the PCF Model was implemented how practices transformed care and the effects on health care 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
Detailed Description:
The Innovation Center launched the PCF Model in 2021 The PCF Model will test whether financial risk and performance-based payments for outcomes including the acute hospitalization rate will 1 reduce total Medicare fee-for-service FFS expenditures 2 reduce use of health care services and 3 preserve or enhance quality of care The PCF Model will provide payments to participating practices through i a per beneficiary per month PBPM prospective payment and 2 a Flat Visit Fee subject to a geographic adjustment factor PCF practices may further be eligible for a quarterly Performance-based Adjustment PBA based on meeting certain performance and quality benchmarks
The PCF Model builds on principles and experiences from past Innovation Center initiatives including the Comprehensive Primary Care Initiative Multi-Payer Advanced Primary Care Practice MAPCP demonstration and Comprehensive Primary Care Plus CPC CMS enrolled practices in the PCF Model in one of two cohorts Cohort 1 practices participate from January 1 2021 through December 31 2025 Cohort 2 practices participate from January 1 2022 through December 31 2026 Cohort 2 includes many practices that participated in CPC CMS defines a primary care practice under the PCF Model as one or more primary care providers physician nurse practitioner physicians assistant or clinical nurse specialist working within the same physical office location or practice site
The primary goal of the evaluation is to determine whether the PCF Model preserves or enhances quality of care for Medicare FFS beneficiaries and lower expenditures for CMS The general study design will compare beneficiaries in PCF practices with beneficiaries that receive care at matched comparison practices that arent participating in PCF but are located in PCF regions The study will rely on three types of data sources 1 Medicare FFS claims and enrollment data 2 payment data for the PCF Model and other CMS programs and 3 area-level data sets with information on beneficiary and practice characteristics Using these data sources investigators also plan to evaluate the impact of the model on health care service use and a set of secondary outcomes
The PCF Model builds on principles and experiences from past Innovation Center initiatives including the Comprehensive Primary Care Initiative Multi-Payer Advanced Primary Care Practice MAPCP demonstration and Comprehensive Primary Care Plus CPC CMS enrolled practices in the PCF Model in one of two cohorts Cohort 1 practices participate from January 1 2021 through December 31 2025 Cohort 2 practices participate from January 1 2022 through December 31 2026 Cohort 2 includes many practices that participated in CPC CMS defines a primary care practice under the PCF Model as one or more primary care providers physician nurse practitioner physicians assistant or clinical nurse specialist working within the same physical office location or practice site
The primary goal of the evaluation is to determine whether the PCF Model preserves or enhances quality of care for Medicare FFS beneficiaries and lower expenditures for CMS The general study design will compare beneficiaries in PCF practices with beneficiaries that receive care at matched comparison practices that arent participating in PCF but are located in PCF regions The study will rely on three types of data sources 1 Medicare FFS claims and enrollment data 2 payment data for the PCF Model and other CMS programs and 3 area-level data sets with information on beneficiary and practice characteristics Using these data sources investigators also plan to evaluate the impact of the model on health care service use and a set of secondary outcomes
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None