The CMS State Innovation Models Initiative and Improved Health Information Technology and Care Management Capabilities of Physician Practices

Details

• Alternative Title:
  Med Care Res Rev
• Personal Author:
  Kandel, Zosha K. ; Rittenhouse, Diane R. ; Bibi, Salma ; Fraze, Taressa K. ; Shortell, Stephen M. ; Rodríguez, Hector P.
• Description:
  The Centers for Medicare and Medicaid Services' (CMS) State Innovation Models (SIMs) initiative funded 17 states to implement health care payment and delivery system reforms to improve health system performance. Whether SIM improved health information technology (HIT) and care management capabilities of physician practices, however, remains unclear. National surveys of physician practices (| = 2,722) from 2012 to 2013 and 2017 to 2018 were linked. Multivariable regression estimated differential adoption of 10 HIT functions and chronic care management processes (CMPs) based on SIM award status (SIM Round 1, SIM Round 2, or non-SIM). HIT and CMP capabilities improved equally for practices in SIM Round 1 (5.3 vs. 6.8 capabilities, | < .001), SIM Round 2 (4.7 vs. 7.0 capabilities, | < .001), and non-SIM (4.2 vs. 6.3 capabilities, | < .001) states. The CMS SIM Initiative did not accelerate the adoption of ten foundational physician practice capabilities beyond national trends.
• Subjects:
  Aged Article Care Management Centers For Medicare And Medicaid Services, U.S. Delivery System Reform Health Information Technology Humans Medical Informatics Medicare Payment Reform Physicians State Health Policy United States

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• Source:
  Med Care Res Rev. 78(4):350-360
• Pubmed ID:
  31967494
• Pubmed Central ID:
  PMC7374051
• Document Type:
  Journal Article
• Funding:
  U18 DP006123/DP/NCCDPHP CDC HHSUnited States/ ; U18DP006123/ACL/ACL HHSUnited States/ ; U19 HS024075/HS/AHRQ HHSUnited States/
• Volume:
  78
• Issue:
  4
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:170fdde850f919b3aae937855a452384c5f72317835e7f71c5ae3533c065aeeb
• Download URL:
  https://stacks.cdc.gov/view/cdc/90993/cdc_90993_DS1.pdf
• File Type:
  [PDF - 532.75 KB ]