Attribution and Enrollment
Clear attribution and enrollment models ensure that both payers and providers know which patients are enrolled in a pilot and are a key foundation of enhanced fee-for-service, pay for performance, shared savings, and global payment models.
- Yalowich, Rachel, Barbara Wirth, and Mary Takach. 2014. “Matching Patients with Their Providers: Lessons on Attribution and Enrollment from Four Multi-Payer Patient-Centered Medical Home Initiatives.” National Academy for State Health Policy.
Presents key considerations for states when developing assignment models that were gleaned from challenges and lessons learned from multi-payer initiatives in Maryland, Massachusetts, Michigan, and Rhode Island.
- Lewis, Valerie, Asha Belle McClurg, Jeremy Smith, Elliott S. Fisher, and Julie P.W. Bynum. 2013. “Attributing Patients to Accountable Care Organizations: Performance Year Approach Aligns Stakeholders’ Interests.” Health Affairs 32 (3): 587-595.Compares prospective and performance year (retrospective) approaches to attributing patients to accountable care organizations, finding that retrospective models are likely to include a greater proportion of the patients served by an ACO during the performance year compared to prospective models.
- Harbrecht, Marjie G., and Lisa M Latts. 2012. “Colorado’s Patient-Centered Medical Home Pilot Met Numerous Obstacles, Yet Saw Results Such As Reduced Hospital Admissions.” Health Affairs 31 (9): 2010–2017.Describes Colorado’s Patient Centered Medical Home Pilot attribution methodology (see Online Appendix).
- Pope, Gregory C. 2011. “Attributing Patients to Physicians for Pay for Performance.” In Pay for Performance in Health Care: Methods and Approaches, ed. Cromwell, Jerry, Michael G. Trisolini, Gregory C. Pope, Janet B. Mitchell, and Leslie M. Greenwald. RTI International.Discusses various factors of patient attribution models, including examples from Medicare fee-for-service and commercial insurers.