{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,12]],"date-time":"2025-07-12T01:07:48Z","timestamp":1752282468833,"version":"3.40.5"},"reference-count":38,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,7,18]],"date-time":"2022-07-18T00:00:00Z","timestamp":1658102400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100010001","name":"Federal Office of Rural Health Policy","doi-asserted-by":"publisher","award":["#U1C RH20419"],"award-info":[{"award-number":["#U1C RH20419"]}],"id":[{"id":"10.13039\/100010001","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000102","name":"Health Resources and Services Administration","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000102","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Services Research"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate whether primary care physicians' participation in the Medicare Shared Savings Program (MSSP) is associated with changes in their preventive services delivery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data Sources<\/jats:title><jats:p>Medicare Provider Utilization and Payment Physician and Other Supplier Public Use File and MSSP Accountable Care Organizations (ACO) Provider\u2010Level Research Identifiable File from 2012 to 2018.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>The design was a two\u2010way fixed effects model estimating within\u2010provider changes in preventive services delivery over time controlling for provider time\u2010invariant characteristics, national time trends, and characteristics of served patients. The following preventive services were evaluated: influenza vaccination, pneumococcal vaccination, clinical depression screening, colorectal cancer screening, breast cancer screening, Body Mass Index (BMI) screening and follow\u2010up, tobacco use assessment, and annual wellness visits. Both the likelihood of providing services and the volume of services delivered were evaluated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data Collection\/Extraction Methods<\/jats:title><jats:p>Secondary data linked at the provider level.<\/jats:p><\/jats:sec><jats:sec><jats:title>Principal Findings<\/jats:title><jats:p>MSSP participation was associated with an increase in the likelihood of providing influenza vaccination (0.7 percentage\u2010points), pneumococcal vaccination (2.0 percentage\u2010points), clinical depression screening (2.1 percentage\u2010points), tobacco use assessment (0.3 percentage\u2010points), and annual wellness visits (4.1 percentage\u2010points). A similar increase was found for the volume of services delivered per 100 patients for several preventive services: influenza vaccination (0.18), pneumococcal vaccination (0.56), clinical depression screening (0.46), and annual wellness visits (1.52). MSSP participation was associated with a decrease in the likelihood (\u22120.4 percentage\u2010points) and the volume of colorectal cancer screening (\u22120.03).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Primary care physicians' participation in MSSP was associated with an increase in the likelihood and the volume of several preventive services.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1475-6773.14030","type":"journal-article","created":{"date-parts":[[2022,7,9]],"date-time":"2022-07-09T07:29:50Z","timestamp":1657351790000},"page":"1182-1190","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Primary care physicians' participation in the Medicare shared savings program and preventive services delivery: Evidence from the first 7\u2009years"],"prefix":"10.1111","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9654-1594","authenticated-orcid":false,"given":"Huang","family":"Huang","sequence":"first","affiliation":[{"name":"Department of Health Management and Policy University of Iowa College of Public Health  Iowa City Iowa USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2194-7327","authenticated-orcid":false,"given":"Xi","family":"Zhu","sequence":"additional","affiliation":[{"name":"Department of Health Policy and Management UCLA Fielding School of Public Health  Los Angeles California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George L.","family":"Wehby","sequence":"additional","affiliation":[{"name":"Department of Health Management and Policy University of Iowa College of Public Health  Iowa City Iowa USA"},{"name":"National Bureau of Economic Research  Cambridge Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,7,18]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"Office of Disease Prevention and Health Promotion.Clinical Preventive Services. Updated May 6.https:\/\/www.healthypeople.gov\/2020\/leading-health-indicators\/2020-lhi-topics\/Clinical-Preventive-Services"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199307293290506"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2008.0701"},{"key":"e_1_2_9_5_1","unstructured":"NeumannPJ CohenJT.Cost savings and cost\u2010effectiveness of clinical preventive care. Synth Proj Res Synth Rep Sep.2009. (18)."},{"key":"e_1_2_9_6_1","unstructured":"Centers for Medicare and Medicaid Services.Background: The affordable care act's new rules on preventive care. Updated July 14.https:\/\/www.cms.gov\/CCIIO\/Resources\/Fact-Sheets-and-FAQs\/preventive-care-background"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp0708558"},{"key":"e_1_2_9_8_1","unstructured":"Office of Disease Prevention and Health Promotion.Healthy people 2020 topics & objectives (older adults). U.S. Department of Health and Human Services.https:\/\/www.healthypeople.gov\/2020\/topics-objectives\/topic\/older-adults. Accessed August 15 2021."},{"key":"e_1_2_9_9_1","unstructured":"Centers for Medicare and Medicaid Services.Medicare shared savings program: about the program.https:\/\/www.cms.gov\/Medicare\/Medicare-Fee-for-Service-Payment\/sharedsavingsprogram\/about. Accessed May 9 2021."},{"issue":"8","key":"e_1_2_9_10_1","first-page":"613","article-title":"Personalized preventive care reduces healthcare expenditures among Medicare advantage beneficiaries","volume":"20","author":"Musich S","year":"2014","journal-title":"Am J Manag Care"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.37765\/ajac.2021.88747"},{"issue":"6","key":"e_1_2_9_12_1","first-page":"30","article-title":"Back to basics: five steps to better influenza vaccination rates","volume":"24","author":"Cunningham A","year":"2017","journal-title":"Fam Pract Manag"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606\u2010019\u201005271\u20105"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.31700"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2017.8087"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.12049"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/1468-0009.12468"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2015.4525"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2017.0814"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0000000000000945"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamacardio.2017.2172"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMsa1406552"},{"key":"e_1_2_9_23_1","unstructured":"Research Data Assistance Center (ResDAC).Medicare shared savings program accountable care organizations (ACO) provider\u2010level RIF.https:\/\/resdac.org\/cms-data\/files\/share-saving-program-aco-provider-level. Accessed January 11 2021."},{"key":"e_1_2_9_24_1","unstructured":"Centers for Medicare and Medicaid Services.Medicare shared savings program: shared savings and losses and assignment methodology: specifications.https:\/\/www.cms.gov\/Medicare\/Medicare-Fee-for-Service-Payment\/sharedsavingsprogram\/Downloads\/Shared-Savings-Losses-Assignment-Spec-V7.pdf. Accessed September 11 2019."},{"key":"e_1_2_9_25_1","unstructured":"Centers for Medicare and Medicaid Services.Final report for accountable care organization 2012 program analysis: quality performance standards narrative measure specifications. Updated December 12.https:\/\/www.cms.gov\/Medicare\/Medicare\u2010Fee\u2010for\u2010Service\u2010Payment\/sharedsavingsprogram\/Downloads\/ACO_QualityMeasures.pdf."},{"key":"e_1_2_9_26_1","unstructured":"Stata statistical software: release 17. Version 17. StataCorp LLC.2021."},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.5888\/pcd16.180625"},{"key":"e_1_2_9_28_1","unstructured":"Centers for Medicare and Medicaid Services.Next generation ACO model coordinated care reward for annual wellness visits: frequently asked questions. Updated April 2019.https:\/\/innovation.cms.gov\/files\/x\/nextgenaco-ccrfaq.pdf. Accessed August 15 2021."},{"key":"e_1_2_9_29_1","unstructured":"Centers for Medicare and Medicaid Services.Beneficiary engagement toolkit. Updated November 2019.https:\/\/innovation.cms.gov\/files\/x\/aco-beneficiary-engagement-toolkit.pdf. Accessed August 15 2021."},{"issue":"1","key":"e_1_2_9_30_1","first-page":"22","article-title":"The patient\u2010physician relationship, primary care attributes, and preventive services","volume":"36","author":"Parchman ML","year":"2004","journal-title":"Fam Med"},{"issue":"2","key":"e_1_2_9_31_1","first-page":"12","article-title":"Medicare annual wellness visits: how to get patients and physicians on board","volume":"24","author":"Bluestein D","year":"2017","journal-title":"Fam Pract Manag"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2017.4342"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2014.0483"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2014.0353"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2016.0019"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2015.1669"},{"key":"e_1_2_9_37_1","unstructured":"U.S. Preventive Services Task Force.Recommendation topics: A and B recommendations.https:\/\/www.uspreventiveservicestaskforce.org\/uspstf\/recommendation-topics\/uspstf-and-b-recommendations. Accessed August 15 2021."},{"key":"e_1_2_9_38_1","unstructured":"Center for Health Care Strategies.Medicaid accountable care organizations: state update. Updated 2018.https:\/\/www.chcs.org\/resource\/medicaid-accountable-care-organizations-state-update\/. Accessed August 15 2021."},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1111\/1475-6773.13363"}],"container-title":["Health Services Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1475-6773.14030","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/1475-6773.14030","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1475-6773.14030","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,23]],"date-time":"2023-08-23T08:42:15Z","timestamp":1692780135000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1475-6773.14030"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,7,18]]},"references-count":38,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2022,10]]}},"alternative-id":["10.1111\/1475-6773.14030"],"URL":"https:\/\/doi.org\/10.1111\/1475-6773.14030","archive":["Portico"],"relation":{},"ISSN":["0017-9124","1475-6773"],"issn-type":[{"type":"print","value":"0017-9124"},{"type":"electronic","value":"1475-6773"}],"subject":[],"published":{"date-parts":[[2022,7,18]]},"assertion":[{"value":"2022-07-18","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}