Medicare Expenditures and Hospital Use, All ConditionscpcNCT01827189
Staffing Patterns of Comprehensive Primary Care Practices
An observational study of Medicare Expenditures and Hospital Use, All Conditions, run by Mathematica Policy Research, Inc..
Trial summary
Examines staff size and composition of the 496 advanced primary care practices participating in CMS's comprehensive primary care initiative, in 7 regions (states or local areas) that were selected for the demonstration. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Medicare Expenditures and Hospital Use, All Conditions
- What is being tested?
- Comprehensive primary care
- How many people
- 15,000 participants
- Where
- No sites listed yet
- Study dates
- Oct 2012to May 2018
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Study population: Medicare patients enrolled in traditional Medicare who receive the majority of their Evaluation and Management visits from one of the study practices.
Who may be able to join
- All Medicare fee-for-service patients who receive the majority of their Evaluation and Management visits from one of the study practices.
Who cannot join
- none.
About this study
Official title: Evaluation of the Comprehensive Primary Care Initiative
Examines staff size and composition of the 496 advanced primary care practices participating in CMS's comprehensive primary care initiative, in 7 regions (states or local areas) that were selected for the demonstration.
Read the detailed description
Participating practices all have electronic health records, submitted applications to participate in this demonstration program designed to improve primary care practices, and were selected as the most advanced of the applicants in terms of use of health information technology and certification as a medical home or possessing features similar to those of a medical home. Participating practices will receive monthly payments from Centers for Medicare \& Medicaid (CMS) for Medicare patients attributed to the practice, and from other payers in the market taht are participating in the initiative. The demonstration began in October 2012 and will continue for 4 years. This early paper focuses on describing these practices at the outset of the demonstration.
- Being tested
- Comprehensive primary care
- Keywords
- primary care, Medicare costs, hospitalizations
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Comprehensive primary careOther
Practices participating in the comprehensive primary care initiative receive a monthly amount from Centers for Medicare and Medicaid Services for each attributed Medicare patient, plus technical support of a learning collaborative, and can share in any net savings generated.
| Study group | Role | What they receive |
|---|---|---|
| Comprehensive primary care practices | Comprehensive primary care practices are the intervention group. Receives: Other: Comprehensive primary care | |
| Comparison practices | Comparison practices are the case-control group--the matched set of practices in a comparison area--whose patients' outcomes will be compared to those of intervention practices. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Medicare expenditures per year for patients attributed to the practice
Measured: Four years
Secondary outcomes (1)
number of preventable hospitalizations
Measured: four years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Apr 2013 (estimated)
- Study startOct 2012
- Primary completionOct 2016
- Study completionMay 2018
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Medicare Expenditures and Hospital Use, All ConditionsStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Case-control
- Time perspective
- Prospective
- Enrolment
- 15,000 participants (actual)
Sponsor and investigators
- Lead sponsor
- Mathematica Policy Research, Inc.
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Randall S Brown, PhD, Principal investigator, Mathematica Policy Research
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01827189
- Sponsor's protocol ID
- cpc32813
- Acronym
- cpc
- Status last verified
- Aug 2018
- First submitted
- 1 Apr 2013
- Last updated
- 16 Aug 2018
- Results posted
- No
- Data monitoring committee
- No
- Individual data sharing
- No: not allowed; data belong to the federal government
Study at a glance
From the registry record, last updated by the sponsor on 16 Aug 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Evaluation of the Comprehensive Primary Care Initiative
- ClinicalTrials.gov ID
- NCT01827189
- Acronym / sponsor ID
- cpc / cpc32813
- Keywords
- primary care, Medicare costs, hospitalizations
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 15,000 participants (actual)
- Lead sponsor
- Mathematica Policy Research, Inc.University, hospital or other
- Study start
- Oct 2012
- Primary completion
- Oct 2016 (actual)
- Study completion
- May 2018 (actual)
- First posted
- 9 Apr 2013 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Examines staff size and composition of the 496 advanced primary care practices participating in CMS's comprehensive primary care initiative, in 7 regions (states or local areas) that were selected for the demonstration.
Detailed description
Participating practices all have electronic health records, submitted applications to participate in this demonstration program designed to improve primary care practices, and were selected as the most advanced of the applicants in terms of use of health information technology and certification as a medical home or possessing features similar to those of a medical home. Participating practices will receive monthly payments from Centers for Medicare \& Medicaid (CMS) for Medicare patients attributed to the practice, and from other payers in the market taht are participating in the initiative. The demonstration began in October 2012 and will continue for 4 years. This early paper focuses on describing these practices at the outset of the demonstration.
Study design
- Observational model
- Case-control
- Time perspective
- Prospective
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Comprehensive primary care practices | – | Other: Comprehensive primary careComprehensive primary care practices are the intervention group. |
| Comparison practices | – | –Comparison practices are the case-control group--the matched set of practices in a comparison area--whose patients' outcomes will be compared to those of intervention practices. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- Medicare patients enrolled in traditional Medicare who receive the majority of their Evaluation and Management visits from one of the study practices.
Key inclusion criteria (1 listed)
- All Medicare fee-for-service patients who receive the majority of their Evaluation and Management visits from one of the study practices.
Key exclusion criteria (1 listed)
- none.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Comprehensive primary carePractices participating in the comprehensive primary care initiative receive a monthly amount from Centers for Medicare and Medicaid Services for each attributed Medicare patient, plus technical support of a learning collaborative, and can share in any net savings generated. | Other | Comprehensive primary care practices |
Primary outcome
Medicare expenditures per year for patients attributed to the practice
Time frame: Four years
1 secondary outcome
number of preventable hospitalizations
Time frame: four years
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 16 Aug 2018.
- Individual participant dataSharing planned: No. not allowed; data belong to the federal government
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Randall S Brown, PhD principal investigator
Mathematica Policy Research
Questions about this trial
What is this clinical trial studying?
An observational study of Medicare Expenditures and Hospital Use, All Conditions, run by Mathematica Policy Research, Inc..
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 16 Aug 2018. Status can change between updates, so confirm with the study contact before making plans.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Medicare expenditures per year for patients attributed to the practice (time frame: Four years). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 16 Aug 2018.