Huang Huang1, Xi Zhu2, George L Wehby1,3. 1. Department of Health Management and Policy, University of Iowa College of Public Health, Iowa City, Iowa, USA. 2. Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, California, USA. 3. National Bureau of Economic Research, Cambridge, Massachusetts, USA.
Abstract
OBJECTIVE: To evaluate whether primary care physicians' participation in the Medicare Shared Savings Program (MSSP) is associated with changes in their preventive services delivery. DATA SOURCES: Medicare Provider Utilization and Payment Physician and Other Supplier Public Use File and MSSP Accountable Care Organizations (ACO) Provider-Level Research Identifiable File from 2012 to 2018. STUDY DESIGN: The design was a two-way fixed effects model estimating within-provider changes in preventive services delivery over time controlling for provider time-invariant characteristics, national time trends, and characteristics of served patients. The following preventive services were evaluated: influenza vaccination, pneumococcal vaccination, clinical depression screening, colorectal cancer screening, breast cancer screening, Body Mass Index (BMI) screening and follow-up, tobacco use assessment, and annual wellness visits. Both the likelihood of providing services and the volume of services delivered were evaluated. DATA COLLECTION/EXTRACTION METHODS: Secondary data linked at the provider level. PRINCIPAL FINDINGS: MSSP participation was associated with an increase in the likelihood of providing influenza vaccination (0.7 percentage-points), pneumococcal vaccination (2.0 percentage-points), clinical depression screening (2.1 percentage-points), tobacco use assessment (0.3 percentage-points), and annual wellness visits (4.1 percentage-points). A similar increase was found for the volume of services delivered per 100 patients for several preventive services: influenza vaccination (0.18), pneumococcal vaccination (0.56), clinical depression screening (0.46), and annual wellness visits (1.52). MSSP participation was associated with a decrease in the likelihood (-0.4 percentage-points) and the volume of colorectal cancer screening (-0.03). CONCLUSIONS: Primary care physicians' participation in MSSP was associated with an increase in the likelihood and the volume of several preventive services.
OBJECTIVE: To evaluate whether primary care physicians' participation in the Medicare Shared Savings Program (MSSP) is associated with changes in their preventive services delivery. DATA SOURCES: Medicare Provider Utilization and Payment Physician and Other Supplier Public Use File and MSSP Accountable Care Organizations (ACO) Provider-Level Research Identifiable File from 2012 to 2018. STUDY DESIGN: The design was a two-way fixed effects model estimating within-provider changes in preventive services delivery over time controlling for provider time-invariant characteristics, national time trends, and characteristics of served patients. The following preventive services were evaluated: influenza vaccination, pneumococcal vaccination, clinical depression screening, colorectal cancer screening, breast cancer screening, Body Mass Index (BMI) screening and follow-up, tobacco use assessment, and annual wellness visits. Both the likelihood of providing services and the volume of services delivered were evaluated. DATA COLLECTION/EXTRACTION METHODS: Secondary data linked at the provider level. PRINCIPAL FINDINGS: MSSP participation was associated with an increase in the likelihood of providing influenza vaccination (0.7 percentage-points), pneumococcal vaccination (2.0 percentage-points), clinical depression screening (2.1 percentage-points), tobacco use assessment (0.3 percentage-points), and annual wellness visits (4.1 percentage-points). A similar increase was found for the volume of services delivered per 100 patients for several preventive services: influenza vaccination (0.18), pneumococcal vaccination (0.56), clinical depression screening (0.46), and annual wellness visits (1.52). MSSP participation was associated with a decrease in the likelihood (-0.4 percentage-points) and the volume of colorectal cancer screening (-0.03). CONCLUSIONS: Primary care physicians' participation in MSSP was associated with an increase in the likelihood and the volume of several preventive services.
Authors: Sukyung Chung; Lenard I Lesser; Diane S Lauderdale; Nicole E Johns; Latha P Palaniappan; Harold S Luft Journal: Health Aff (Millwood) Date: 2015-01 Impact factor: 6.301
Authors: Valerie A Lewis; Carrie H Colla; Katherine Tierney; Arica D Van Citters; Elliott S Fisher; Ellen Meara Journal: Health Aff (Millwood) Date: 2014-10 Impact factor: 6.301
Authors: Erika L Crable; Catherine A Fullerton; Rachel M Henke; Andriana Hohlbauch; Nicholas Cummings Journal: Health Aff (Millwood) Date: 2016-07-01 Impact factor: 6.301
Authors: Matthew J Resnick; Amy J Graves; Sunita Thapa; Robert Gambrel; Mark D Tyson; Daniel Lee; Melinda B Buntin; David F Penson Journal: JAMA Intern Med Date: 2018-05-01 Impact factor: 21.873