330 likes | 508 Views
MiPCT Evaluation Update. Clare Tanner March 14, 2014. CMS Evaluation. Question: What would have happened in Michigan without the MiPCT demonstration? Conducted by: Research Triangle Institute (RTI). RTI Measures. Cost. Utilization. All-cause hospitalizations
E N D
MiPCTEvaluation Update Clare Tanner March 14, 2014
CMS Evaluation Question: What would have happened in Michigan without the MiPCT demonstration? Conducted by: Research Triangle Institute (RTI)
RTI Measures Cost Utilization All-cause hospitalizations ACSC hospitalizations (PQI) All-cause ED visits % ED visits that do not lead to hospitalization Discharges from short-term general, rehabilitation, and SNF with (billed) clinical follow-up within 14 days Rate of 30-day unplanned readmissions (CMS definition developed by the Yale New Haven Health Services Corporation) • Average PMPM • Measured as Medicare payments Quality Diabetes care: • LDL-C screening • HbA1c testing • Retinal eye examination • Medical attention for nephropathy • All 4 diabetes tests Ischemic Vascular Disease: • Total lipid panel test Patient experience survey
To be considered a success: Outcomes of MiPCT beneficiaries must improve at a greater rate than comparison beneficiaries
Retinal Eye Examination Rate National benchmark: 82%
Nephropathy Rate National benchmark: 94%
LDL-C Screening Rate National benchmark: 94%
Cost Savings? Demonstration effect: The change in outcomes during the demonstration period among beneficiaries assigned to MAPCP Demonstration practices compared to the change in outcomes for beneficiaries assigned to comparison PCMH practices.
Quarterly Trend Comparison: Payments to PC and Specialty Physicians
Michigan Data A Multi-payer Perspective
Care Management Activity Source: PO quarterly reporting, 2013
Typical Daily Care Manager Activity Quarter 4
Care Manager Survey Source: Surveys conducted May 2013 and Dec 2013/January 2014 50% response rate
Care Manager Survey Results 22% of all respondents specifically noted that no other staff member is designated to assist with any of the tasks
May-June 2014 April - May 2014 March - April 2014 October 2014 Next Steps Ongoing Claims Analyses Contact: ctanner@mphi.org