Investigators at University of California San Francisco (UCSF) Detail Findings in Insurance (Longitudinal Participation In Delivery and Payment Reform Programs Among Us Primary Care Organizations): Insurance

2022 DEC 01 (NewsRx) -- By a News Reporter-Staff News Editor at Health Policy and Law Daily -- Investigators publish new report on Insurance. According to news reporting out of San Francisco, California, by NewsRx editors, research stated, “To assess longitudinal primary care organization participation patterns in large-scale reform programs and identify organizational characteristics associated with multiprogram participation. Secondary data analysis of national program participation data over an eight-year period (2009-2016).”

Funders for this research include Agency for Healthcare Research & Quality, NIH National Institute on Aging (NIA).

Our news journalists obtained a quote from the research from the University of California San Francisco (UCSF), “We conducted a retrospective, observational study by creating a unique set of data linkages (including Medicare and Medicaid Meaningful Use and Medicare Shared Savings Program Accountable Care Organization (MSSP ACO) participation from CMS, Patient-Centered Medical Home (PCMH) participation from the National Committee for Quality Assurance, and organizational characteristics) to measure longitudinal participation and identify what types of organizations participate in one or more of these reform programs. We used multivariate models to identify organizational characteristics that differentiate those that participate in none, one, or two-to-three programs. Methods We used Medicare claims to identify organizations that delivered primary care services (n = 56 ,287) and then linked organizations to program participation data and characteristics. No program achieved more than 50% participation across the 56,287 organizations in a given year, and participation levels flattened or decreased in later years. 36% of organizations did not participate in any program over the eight-year study period; 50% participated in one; 13% in two; and 1% in all three. 14.31% of organizations participated in five or more years of Meaningful Use while 3.84% of organizations participated in five years of the MSSP ACO Program and 0.64% participated in at least five years of PCMH. Larger organizations, those with younger providers, those with more primary care providers, and those with larger Medicare patient panels were more likely to participate in more programs. Conclusions and Relevance Primary care transformation via use of voluntary programs, each with their own participation requirements and approach to incentives, has failed to broadly engage primary care organizations.”

According to the news editors, the research concluded: “Those that have chosen to participate in multiple programs are likely those already providing high-quality care.”

This research has been peer-reviewed.

For more information on this research see: Longitudinal Participation In Delivery and Payment Reform Programs Among Us Primary Care Organizations. Health Services Research, 2022;57(1):47-55. Health Services Research can be contacted at: Wiley, 111 River St, Hoboken 07030-5774, NJ, USA. (Wiley-Blackwell - http://www.wiley.com/; Health Services Research - http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1475-6773)

Our news journalists report that additional information may be obtained by contacting Julia Adler-Milstein, University of California San Francisco (UCSF), 3333 Calif St, Suite 265, San Francisco, CA 94118, United States. Additional authors for this research include Ariel Linden, Steven Bernstein, John Hollingsworth and Andrew Ryan.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1111/1475-6773.13646. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

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