Table 1.
Author, year | Project name (if identified) | Clinical site | Population studied | Study design | Adjustment for confounders | Intervention group sample | Control group sample | Follow up time |
---|---|---|---|---|---|---|---|---|
Patient Centered Medical Home Interventions (PCMH) | ||||||||
Kaushal 201522 |
Primary care | Patients under the care of physicians from multiple health plans in NY State |
Pre-post/concurrent comparator |
Full | 92 physicians | 183 physicians |
1 year | |
Van Hasselt 201523 |
Primary care | All Medicare FFS*patients seen in participating clinics |
Pre-post/concurrent comparator |
Full | 308 practices | 1906 practices |
2 years | |
Friedberg 201415 |
Southeastern Pennsylvania Chronic Care Initiative (PACCI) |
Primary care | All patients seen in participating clinics |
Pre-post/ concurrent comparator |
Full | 64243 patients |
55959 patients |
3 years |
Christensen 201312 |
Primary care | All patients seen in participating clinic |
Pre-post/ concurrent comparator |
Full | 4090 patients† |
4090 patients† |
1.5 years |
|
Hochman 201316 |
Primary care | All patients seen in resident clinic |
Pre-post/ concurrent comparator |
Full | 4679 patients‡ |
8899 patients‡ |
1 year | |
Liss 201317§ | Group Health | Primary care | Adults with diabetes, CHD, or hypertension |
Pre-post/ concurrent comparator |
Full | 1181 patients | 36757 patients |
2 years |
Rosenthal 20139 |
RI Chronic Care Sustainability Initiative |
Primary care | All patients seen in participating clinics |
Pre-post/ concurrent comparator |
Full | 31130 member months |
14779 member months |
2 years |
Werner 201321 |
Primary care | Horizon Blue Cross Blue Shield patients |
Pre-post/ concurrent comparator |
Full | 10004 patients |
25055 patients |
1 year | |
Devries 201213 |
Primary care | Patients under 65 years |
Retrospective concurrent comparator |
Full | 31032 patients |
350015 patients |
1-2 years |
|
Fishman 201214§ |
Group Health | Primary care | Patients 65 and older | Pre-post/ concurrent comparator |
Partial | 1415 patients∥ |
1415 patients¶ |
2 years |
Raskas 201218i**- CO |
CO Multipayer PCMH |
Primary care | Well point-affiliated plan members |
Pre-post/concurrent comparator |
Partial | 6,200 patients |
2 years | |
Raskas 201218** - NH |
NH Citizens Health Initiative Multi- Stakeholder†† |
Primary care | Wellpoint-affiliated plan members |
Pre-post/ concurrent comparator |
Partial | 10,000 patients |
15 months |
|
Rosenberg 201220 |
Primary care | All patients seen in participating clinics |
Pre-post/ concurrent comparator |
Full | 23900 patients |
Not stated | 2 years | |
Reid 201019 | Group Health | Primary care | All patients seen in participating clinic |
Pre-post/concurrent comparator |
Partial | 7018 patients | 200970 patients |
2 years |
Pay for Performance Interventions | ||||||||
Lemak 201532 |
Physician Group Incentive Program |
Primary care, Specialty |
Blue Cross Blue Shield of MI patients |
Pre-post/concurrent comparator |
Full | 7774 practices |
2991 practices |
2-3 years |
McWilliams 201533 |
Pioneer ACO | Random sample of FFS Medicare patients |
Pre-post/concurrent comparator |
Full | 201,644 (post) - 566,410 (pre) patients |
4.8 million (post) -14.2 million (pre) patients |
1 year | |
Chien 201426 |
Alternative Quality Contract |
Primary care | Blue Cross Blue Shield of MA HMO pediatric patients |
Pre-post/ concurrent comparator |
Full | 126975 patients |
415331 patients |
2 years |
Esse 201328 | Primary care | Medicare Advantage patients |
Cross-sectional analysis | Full | 1225 patients |
3015 patients |
1 year | |
Calikoglu 201224 |
Quality-Based Reimbursement Program |
Hospital | Medicare patients | Retrospective concurrent comparator |
Full | ~700,000 discharges annually |
Details not specified |
3 years |
Colla 201227 | Medicare Physician Group Practice Demonstration |
Primary care | Medicare patients | Retrospective concurrent comparator |
Full | 990,177 patients |
7514453 patients |
5 years |
Song 201231 | Alternative Quality Contract |
Primary care | Blue Cross Blue Shield of MA patients |
Pre-post/ concurrent comparator |
Full | 428892 patients |
1339798 patients |
2 years |
Chen 201025 | Primary care | Patients with diabetes | Concurrent comparator | Full | 30617 patients‡‡ |
1748 patients§§ |
3 years | |
Leitman 201029 |
Hospital | Inpatient admissions to 1 hospital |
Pre-post/concurrent comparator |
None | 29535 patients |
20360 patients |
3 years | |
Ryan 200930 | Premier Inc./CMS Hospital Quality Incentive Demo |
Hospital | Medicare patients with AMI, HF, pneumonia, or CABG |
Concurrent comparator | Full | 256 PHQID hospitals |
3077 control hospitals∥∥ |
6 years |
Mixed interventions | ||||||||
Friedberg 201539 |
Northeastern Pennsylvania Chronic Care Initiative (PACCI) |
Primary care | All patients seen in participating clinics |
Pre-post/ concurrent comparator |
Full | 27 practices | 29 practices |
3 years |
Fifield 201337 |
Primary care | Patients seen in participating clinics |
RCT | NA | 18 practices | 14 practices |
2 years | |
Claffey 201236 |
Primary care, specialty |
Medicare Advantage patients |
Concurrent comparator | None | 750 patients | Not stated | 3 years | |
Salmon 201238 |
Collaborative Accountable Care Initiative |
Primary care, multispecialty |
Cigna Health patients | Concurrent comparator | Partial | 3 practices | 1 year | |
Fagan 201035 |
Primary and multispecialty |
Elderly patients with diabetes |
Pre-post/concurrent comparator |
Full | 1587 patients |
19356 patients |
1 year | |
Gilfillan 201034 |
Proven Health Navigator |
Primary care | Medicare Advantage patients |
Pre-post/ concurrent comparator |
Full | 8634 patients |
6676 patients |
Up to 4 years |
FFS=fee for service
Not fully reported; Quality outcomes based on survey of 4090 patients from combined intervention and comparator sites
Numbers differed from pre- to post-; these are the post-intervention numbers
Studies describe different outcomes from the same intervention ∥1415 patients for quality outcomes and 1947 for utilization outcomes
130067 patients for quality outcomes and 39396 for utilization outcomes
Includes three pilots; however two (CO and NH) are reported because the third site (NY) had only baseline data available
Full name is: NH Citizens Health Initiative Multi-Stakeholder Medical Home Pilot
Changed over time; 30617 patients in the final year
Numbers changed over time; 1748 patients in the final year
3077 control hospitals (118 eligible nonparticipating hospitals and 2959 noneligible hospitals)