Implementation of the Medicare Care Management Performance (MCMP) Demonstration

This contract is a follow on to the original data collection support contract for the MCMP demonstration. It will support ongoing data collection activities through the end of the demonstration. The original contract was awarded in 2003 to support the implementation and evaluation of the Physician Group Practice (PGP) demonstration, Medicare's first pay-for-performance initiative for physicians in large multi-specialty group practices. In 2005, the contract was modified to incorporate clinical quality measure data collection and related tasks for the Medicare Care Management Performance (MCMP) demonstration, a pay for performance demonstration for smaller primary care group practices in four states (Arkansas, Utah, California, and Massachusetts). The MCMP demonstration was authorized under section 649 of the Medicare Prescription Drug Improvement and Modernization Act (MMA) of 2003. The goal of this demonstration is to improve the quality of care for chronically ill Medicare beneficiaries while encouraging the implementation and adoption of health information technology by primary care physicians. Under this demonstration, physician groups will receive financial incentives based on performance on 26 clinical quality measures related to the care of beneficiaries with diabetes, congestive heart failure, coronary artery disease, and preventive care services. In addition, they will be eligible to earn additional bonuses if the quality measure data is submitted electronically from a Certification Commission for Health Information Technology (CCHIT) certified electronic health record. The demonstration began July 1, 2007 with almost 700 practices and will run through June 30, 2010. Because of the retrospective nature of the clinical quality data collection process, activities under this contract will continue through FY 2011.