Evaluating community health centers' adoption of a new global capitation payment (eCHANGE) study protocol

H. Angier, J. P. O'Malley, Miguel Marino, Kenneth (John) McConnell, Erika Cottrell, R. L. Jacob, S. Likumahuwa-Ackman, John Heintzman, N. Huguet, Steffani Bailey, Jennifer Devoe

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Primary care patient-centered medical homes (PCMHs) are an effective healthcare delivery model. Evidence regarding the most effective payment models for increased coordination efforts is sparse. This protocol paper describes the evaluation of an Alternative Payment Methodology (APM) implemented in a subset of Oregon community health centers (CHCs), using a prospective matched observational design. The APM is a primary care payment reform intervention that changed Oregon's Medicaid payment for several CHCs from fee-for-service reimbursement to a per-member-per-month capitated payment. We will implement a difference-in-difference analytic approach to evaluate pre-post APM changes between intervention and control groups, including: 1) clinic-level outcomes, 2) patient-level clinical outcomes, and 3) patient-level econometric outcomes. Findings from the project will be of national significance, as there is a need for evidence regarding how novel payment methods might enhance PCMH capabilities and support their capacity to produce better quality and outcomes. If this capitated payment method is proven effective, study findings will inform dissemination of similar APMs nationwide.

Original languageEnglish (US)
Pages (from-to)35-38
Number of pages4
JournalContemporary Clinical Trials
Volume52
DOIs
StatePublished - Jan 1 2017

Fingerprint

Community Health Centers
Patient-Centered Care
Primary Health Care
Fee-for-Service Plans
Medicaid
Delivery of Health Care
Control Groups

Keywords

  • Capitation
  • Medicaid
  • Patient-centered medical homes
  • Payment methodology

ASJC Scopus subject areas

  • Medicine(all)
  • Pharmacology (medical)

Cite this

Evaluating community health centers' adoption of a new global capitation payment (eCHANGE) study protocol. / Angier, H.; O'Malley, J. P.; Marino, Miguel; McConnell, Kenneth (John); Cottrell, Erika; Jacob, R. L.; Likumahuwa-Ackman, S.; Heintzman, John; Huguet, N.; Bailey, Steffani; Devoe, Jennifer.

In: Contemporary Clinical Trials, Vol. 52, 01.01.2017, p. 35-38.

Research output: Contribution to journalArticle

@article{e497257083454a2b9f6472c0063250fd,
title = "Evaluating community health centers' adoption of a new global capitation payment (eCHANGE) study protocol",
abstract = "Primary care patient-centered medical homes (PCMHs) are an effective healthcare delivery model. Evidence regarding the most effective payment models for increased coordination efforts is sparse. This protocol paper describes the evaluation of an Alternative Payment Methodology (APM) implemented in a subset of Oregon community health centers (CHCs), using a prospective matched observational design. The APM is a primary care payment reform intervention that changed Oregon's Medicaid payment for several CHCs from fee-for-service reimbursement to a per-member-per-month capitated payment. We will implement a difference-in-difference analytic approach to evaluate pre-post APM changes between intervention and control groups, including: 1) clinic-level outcomes, 2) patient-level clinical outcomes, and 3) patient-level econometric outcomes. Findings from the project will be of national significance, as there is a need for evidence regarding how novel payment methods might enhance PCMH capabilities and support their capacity to produce better quality and outcomes. If this capitated payment method is proven effective, study findings will inform dissemination of similar APMs nationwide.",
keywords = "Capitation, Medicaid, Patient-centered medical homes, Payment methodology",
author = "H. Angier and O'Malley, {J. P.} and Miguel Marino and McConnell, {Kenneth (John)} and Erika Cottrell and Jacob, {R. L.} and S. Likumahuwa-Ackman and John Heintzman and N. Huguet and Steffani Bailey and Jennifer Devoe",
year = "2017",
month = "1",
day = "1",
doi = "10.1016/j.cct.2016.11.001",
language = "English (US)",
volume = "52",
pages = "35--38",
journal = "Contemporary Clinical Trials",
issn = "1551-7144",
publisher = "Elsevier Inc.",

}

TY - JOUR

T1 - Evaluating community health centers' adoption of a new global capitation payment (eCHANGE) study protocol

AU - Angier, H.

AU - O'Malley, J. P.

AU - Marino, Miguel

AU - McConnell, Kenneth (John)

AU - Cottrell, Erika

AU - Jacob, R. L.

AU - Likumahuwa-Ackman, S.

AU - Heintzman, John

AU - Huguet, N.

AU - Bailey, Steffani

AU - Devoe, Jennifer

PY - 2017/1/1

Y1 - 2017/1/1

N2 - Primary care patient-centered medical homes (PCMHs) are an effective healthcare delivery model. Evidence regarding the most effective payment models for increased coordination efforts is sparse. This protocol paper describes the evaluation of an Alternative Payment Methodology (APM) implemented in a subset of Oregon community health centers (CHCs), using a prospective matched observational design. The APM is a primary care payment reform intervention that changed Oregon's Medicaid payment for several CHCs from fee-for-service reimbursement to a per-member-per-month capitated payment. We will implement a difference-in-difference analytic approach to evaluate pre-post APM changes between intervention and control groups, including: 1) clinic-level outcomes, 2) patient-level clinical outcomes, and 3) patient-level econometric outcomes. Findings from the project will be of national significance, as there is a need for evidence regarding how novel payment methods might enhance PCMH capabilities and support their capacity to produce better quality and outcomes. If this capitated payment method is proven effective, study findings will inform dissemination of similar APMs nationwide.

AB - Primary care patient-centered medical homes (PCMHs) are an effective healthcare delivery model. Evidence regarding the most effective payment models for increased coordination efforts is sparse. This protocol paper describes the evaluation of an Alternative Payment Methodology (APM) implemented in a subset of Oregon community health centers (CHCs), using a prospective matched observational design. The APM is a primary care payment reform intervention that changed Oregon's Medicaid payment for several CHCs from fee-for-service reimbursement to a per-member-per-month capitated payment. We will implement a difference-in-difference analytic approach to evaluate pre-post APM changes between intervention and control groups, including: 1) clinic-level outcomes, 2) patient-level clinical outcomes, and 3) patient-level econometric outcomes. Findings from the project will be of national significance, as there is a need for evidence regarding how novel payment methods might enhance PCMH capabilities and support their capacity to produce better quality and outcomes. If this capitated payment method is proven effective, study findings will inform dissemination of similar APMs nationwide.

KW - Capitation

KW - Medicaid

KW - Patient-centered medical homes

KW - Payment methodology

UR - http://www.scopus.com/inward/record.url?scp=84994756846&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84994756846&partnerID=8YFLogxK

U2 - 10.1016/j.cct.2016.11.001

DO - 10.1016/j.cct.2016.11.001

M3 - Article

VL - 52

SP - 35

EP - 38

JO - Contemporary Clinical Trials

JF - Contemporary Clinical Trials

SN - 1551-7144

ER -