Supporting Health System Innovation
MPHI supports health system innovation by delivering actionable data and analytics. Since 1991, we have been on a public health mission that has included convening government, payers, providers, and communities. Patient-Centered Medical Homes (PCMH) and Community Health Innovation Regions are creating better ways to provide comprehensive, coordinated, and holistic care. MPHI is conducting rigorous analyses of Medicaid data that supports the incorporation of these models.
Michigan Primary Care Transformation (MiPCT) Demonstration
Michigan was an early adopter of PCMH models to make high-quality primary care accessible throughout the state. MiPCT, the first multi-payer PCMH program in Michigan, was the largest participant in the national Multi-Payer Advanced Primary Care Program. MiPCT operated from January 2012 to December 2016. MPHI was the state selected evaluator for MiPCT and in 2018 finalized a deep dive into the Medicaid data, analyzing five years of encounter data on over 500,000 beneficiaries served by over 1,000 primary care practices. MPHI’s analysis was especially important because it included Medicaid patient data. To date, few rigorous and large-scale evaluations of multi-payer PCMHs have included Medicaid patients in their analysis; although future evaluations of State Innovation Model (SIM) demonstrations will focus on Medicaid.
The study results among high-risk adults suggest that MiPCT was effective at reducing costs and inpatient hospitalizations while maintaining quality. The MiPCT Medicaid general adult population also started to see cost and hospital utilization reductions in 2015. In addition, MiPCT was equivalent to or better than comparison groups on most pediatric quality metrics across years (although the differences were narrowing over time).