Table 1.

Characteristics of Practices in the Third Year of the MAPCP Demonstration

Number of practices, No.394
Number of clinicians, No.19,456
Number of clinicians per practice, mean49.38
Number of clinicians per practice, median19
Practice type, %
   Office-based practice79.44
   Federally qualified health centera11.42
   Critical access hospital outpatient clinicb2.54
   Rural health clinicc6.60
Location of practices’ attributed Medicare beneficiaries,d %
  • MAPCP = Multi-Payer Advanced Primary Care Practice.

  • a Federally qualified health centers serve an underserved area or population, offer a sliding fee scale, provide comprehensive services (including dental, mental health, substance abuse, and transportation services), have an ongoing quality assurance program, and have a governing board of directors.

  • b Critical access hospitals are located in a rural area at least 35 miles away from another hospital, have no more than 25 inpatient beds, maintain an annual average length-of-stay of no more than 96 hours for acute inpatient care, and offer 24-hour/7-day-a-week emergency care.

  • c Rural health clinics are located in rural areas that have health care shortage designations, and provide outpatient primary care services and basic laboratory services by a team that includes a mid-level clinician (eg, nurse practitioner, physician assistant, or certified nurse midwife).

  • d Reflects the average percentage of attributed Medicare beneficiaries that reside in metropolitan, micropolitan, or rural areas among the 394 practices.

  • e Micropolitan areas contain an urban core of 10,000-49,999 people.