Evaluation of CMS's Federally Qualified Health Center (FQHC) Advanced Primary Care Practice (APCP) Demonstration

Final Report

Katherine L. Kahn, Justin W. Timbie, Mark W. Friedberg, Peter Mendel, Liisa Hiatt, Emily K. Chen, Amii M. Kress, Christine Buttorff, Tara Lavelle, Beverly A. Weidmer, et al.

ResearchPublished Jun 26, 2017

Cover: Evaluation of CMS's Federally Qualified Health Center (FQHC) Advanced Primary Care Practice (APCP) Demonstration
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RAND conducted an independent evaluation of the Federally Qualified Health Center (FQHC) Advanced Primary Care Practice (APCP) Demonstration for the Centers for Medicare and Medicaid (CMS). The evaluation studied the processes and challenges involved in transforming FQHCs into patient-centered medical homes (PCMHs) and assessed the effects of the FQHC APCP Demonstration model on access, quality, and cost of care provided to Medicare and Medicaid beneficiaries served by FQHCs.

The evaluation sought to answer three key policy questions: How does the demonstration affect practice structure and medical home recognition? Do demonstration sites deliver better beneficiary processes and outcomes than comparison sites? How does medical home recognition affect beneficiary processes and outcomes?

RAND used a mixed-methods approach to address these questions. This report presents the final results of RAND's analyses.

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RAND Style Manual
Kahn, Katherine L., Justin W. Timbie, Mark W. Friedberg, Peter Mendel, Liisa Hiatt, Emily K. Chen, Amii M. Kress, Christine Buttorff, Tara Lavelle, Beverly A. Weidmer, Harold D. Green, Mallika Kommareddi, Rosalie Malsberger, Aaron Kofner, Afshin Rastegar, and Claude Messan Setodji, Evaluation of CMS's Federally Qualified Health Center (FQHC) Advanced Primary Care Practice (APCP) Demonstration: Final Report, RAND Corporation, RR-886/2-CMS, 2017. As of September 15, 2024: https://www.rand.org/pubs/research_reports/RR886z2.html
Chicago Manual of Style
Kahn, Katherine L., Justin W. Timbie, Mark W. Friedberg, Peter Mendel, Liisa Hiatt, Emily K. Chen, Amii M. Kress, Christine Buttorff, Tara Lavelle, Beverly A. Weidmer, Harold D. Green, Mallika Kommareddi, Rosalie Malsberger, Aaron Kofner, Afshin Rastegar, and Claude Messan Setodji, Evaluation of CMS's Federally Qualified Health Center (FQHC) Advanced Primary Care Practice (APCP) Demonstration: Final Report. Santa Monica, CA: RAND Corporation, 2017. https://www.rand.org/pubs/research_reports/RR886z2.html.
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The research described in this report was sponsored by the Centers for Medicare and Medicaid Services (CMS) and conducted by RAND Health.

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