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

CMS/RTI Multipayer Advanced Primary Care Project (MAPCP) Practice Feedback Reports. Overview. Practice Feedback Reports Background. Produced by RTI (the CMS evaluation contractor)

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

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

  2. 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)

  3. 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

  4. 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 PO’s practices on the MDC portal

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