Evaluation of the Multi-Payer Advanced Primary Care Practice (MAPCP) Demonstration
First Annual Report
Under the Multi-Payer Advanced Primary Care Practice (MAPCP) Demonstration, the Centers for Medicare & Medicaid Services (CMS) joined state-sponsored initiatives to promote the principles that characterize patient-centered medical home (PCMH) practices. After a competitive solicitation, eight states were selected for the MAPCP Demonstration: Maine, Michigan, Minnesota, New York, North Carolina, Pennsylvania, Rhode Island, and Vermont. While all eight states were slated to start July 1, 2011, only New York, Rhode Island, and Vermont became operational on that date. Minnesota and North Carolina became operational October 1, 2011, and Maine, Michigan, and Pennsylvania became operational January 1, 2012.
In 2011, CMS selected RTI International (RTI) and its subcontractors, The Urban Institute and the National Academy for State Health Policy, to evaluate the MAPCP Demonstration. The goal of the evaluation is to identify features of the state initiatives or the participating PCMH practices that are positively associated with improved outcomes. The evaluation uses a mix of qualitative and quantitative methods to capture each of the states’ unique features and to develop an in-depth understanding of the transformative processes that occur within and across the states’ health care systems and participating PCMH practices, thereby allowing us to directly link structural and process changes to outcomes.
