Supporting Primary Care for Medically and Socially Complex Patients in Medicaid Managed Care

MassHealth's 2023 reform invests in primary care. This cross-sectional study developed a risk model that can adjust primary care payments to patient needs. Neither age and sex adjustments nor inflated historical payments would provide adequate resources to primary care practices caring for the most complex patients.

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Publication Details

Journal
JAMA Network Open
Published
2025-02-03
DOI
https://doi.org/10.1001/jamanetworkopen.2024.58170
Citations
2
Primary Topic
Primary Care and Health Outcomes
Type
article
Field-Weighted Citation Impact
5.63
Controls
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article

Supporting Primary Care for Medically and Socially Complex Patients in Medicaid Managed Care

Frances E. Eanet, Randall P. Ellis, Matthew Alcusky, Arlene S. Ash et al.
2 citations
JAMA Network Open
Primary Care and Health Outcomes
5.63
article

Supporting Primary Care for Medically and Socially Complex Patients in Medicaid Managed Care

Frances E. Eanet, Randall P. Ellis, Matthew Alcusky, Arlene S. Ash, Eric Mick, Meagan J. Sabatino
article en
2 citations

Abstract

MassHealth's 2023 reform invests in primary care. This cross-sectional study developed a risk model that can adjust primary care payments to patient needs. Neither age and sex adjustments nor inflated historical payments would provide adequate resources to primary care practices caring for the most complex patients.

JAMA Network OpenVol. 8(2)
Boston University (US), University of Massachusetts Chan Medical School (US)
Openalex Percentile: Top 6%
Primary Care and Health Outcomes
5.63
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