CMS/RTI Multipayer Advanced Primary Care Project (MAPCP) Practice Feedback Reports Overview.

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Presentation transcript:

CMS/RTI Multipayer Advanced Primary Care Project (MAPCP) Practice Feedback Reports Overview

Practice Feedback Reports Background Produced by RTI (the CMS evaluation contractor) Reports produced initially for Vermont, Rhode Island and New York, (states with earliest MAPCP start dates) and then for states with later starts Comparison is to other MiPCT practices (not to the CMS control group) CMS advises that they have no plans to supply the analysis using the control group, but we are exploring for potential to construct using MiPCT resources Practices are grouped in two categories by HCC (a CMS risk score) – High acuity (HCC Score greater than.771 which is the median HCC value for assigned beneficiaries at practices) – Low acuity (HCC Score of.771 or lower)

Practice Feedback Report Content Utilization - hospitalization rates (all cause and ACSCs), ED visit rates, % of ED visits that do not lead to a hospitalization Medicare expenditures - average Medicare expenditures per beneficiary (total and by type of service) Quality of care – Diabetes: LDL-C, HbA1c, retinal eye exams, nephropathy screening – Heart disease: total lipid panel

Practice Feedback Distribution Options CMS/RTI is not currently able to supply us with a table of results to be input into the MDC dashboards CMS/RTI could provide POs with access to the reports for their practices through the CMS portal (different than the MDC) Alternatively, MDC can place the reports for each POs practices on the MDC portal