Comprehensive Care Management Variation Between Rural and Nonrural Maryland Primary Care Program (MDPCP) Practices

Primary care–based care management services are effective ways to care for high-needs and high-risk patients. Despite experiencing higher chronic disease burden, rural Medicare beneficiaries have decreased access to primary care. The Maryland Primary Care Program (MDPCP) is the nation's largest voluntary state-led Medicare demonstration seeking to improve primary care infrastructure and chronic disease prevention and management. With varying access to primary care resources and health care needs among rural and nonrural Medicare beneficiaries, it is important to assess whether there is variation in the implementation of MDPCP care management among rural and nonrural practices.