The Comprehensive Primary Care Plus Model and Health Care Spending, Service Use, and Quality

JAMA Network December 15, 2023
Pragya Singh, Ning Fu, Stacy Dale, Sean Orzol, Jessica Laird, Amanda Markovitz, Eunhae Shin, Ann S. O’Malley, Nancy McCall, Timothy J. Day

Key Points

Question
Was the Centers for Medicare & Medicaid Services’ Comprehensive Primary Care Plus (CPC+) model, which provided payment, data feedback, learning, and health information technology supports for more than 3000 US primary care practices, associated with reduced spending and utilization and improved quality of care?

Findings
Using a difference-in-differences analysis with matched comparison practices, CPC+ was found not to be associated with reductions in total expenditures. CPC+ was associated with some reductions in acute care utilization and expenditures but not with meaningful changes in claims-based quality-of-care measures.

Meaning
Further adaptations and testing of primary care transformation models, as well as consideration of the larger context in which they operate, are needed.

Importance
Implemented in 18 regions, Comprehensive Primary...

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