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. 2017 Aug 1;318(5):453–461. doi: 10.1001/jama.2017.9643

Table 1. Patient, Clinician, and Physician Practice Characteristics, 2013.

Characteristic Physician Practice Category
Low Riska High Medical
Risk Onlyb
High Social
Risk Onlyc
High Medical
and Social Risk
Practices, No. 547 128 102 122
Clinicians, No. 175 009 47 397 28 975 32 788
Attributed beneficiaries, No. 4 326 076 470 388 166 783 226 633
Physician practices successfully reporting, No. (%) 433 (79.2) 89 (69.5) 48 (47.1) 66 (54.1)
Beneficiaries
Age group, y, %
0-64 18 24 44 38
65-84 70 63 49 48
≥85 12 13 7 13
Female sex, % 57 57 56 57
Race/ethnicity, %d
Non-Hispanic black 8 16 24 31
Hispanic 3 5 14 8
Dually enrolled in Medicare and Medicaid, % 15 23 53 54
Disabled based on Medicare entitlement, % 21 27 49 45
Clinicians and physician practices
Specialty type, %e
Primary caref 28 20 24 25
Medical 19 27 16 22
Surgical 10 10 9 9
Otherg 19 20 27 24
Nonphysician 24 22 24 20
Met stage 1 meaningful use, %e,h 31 29 8 14
Clinicians/practice, mean (range), No. 320
(100-5984)
370
(100-3068)
284
(100-6488)
269
(100-1671)
a

Neither high medical risk nor high social risk.

b

Had a mean Hierarchical Condition Category risk score greater than the 75th percentile among all fee-for-service beneficiaries.

c

In the top quartile of the proportion of attributed beneficiaries who were dually eligible for Medicare and Medicaid (ie, enrolled in Medicaid in January 2013).

d

Self-reported at the time of application for a social security number and recorded as white non-Hispanic; black non-Hispanic; Asian, Asian American, or Pacific Islander; Hispanic; or North American Indian or Alaskan Native.

e

The denominator is the number of clinicians.

f

Includes general practice, pediatrics, geriatric medicine, internal medicine, or family practice.

g

Includes obstetrics and gynecology, psychiatry, psychology, radiology, emergency medicine, anesthesiology, and ophthalmology.

h

Clinicians must adopt electronic health records across a number of dimensions as specified by the Centers for Medicare & Medicaid Services; this does not include Medicaid meaningful use.