Public health and primary care have both been central to the COVID-19 response. To date, little is known about the effect of health care delivery systems that integrate public health and primary care. To examine the association between the receipt of public health–supported advanced primary care services and COVID-19 incidence, hospitalization, and death, this study compared 2020 fee-for-service claims from 263,891 Medicare beneficiaries participating in the Maryland Primary Care Program (MDPCP), a statewide advanced primary care program, with data from 65,366 nonattributed beneficiaries. The study found that the MDPCP group had a lower incidence of COVID-19 diagnosis (4.3% of beneficiaries vs. 4.6%), a lower rate of COVID-19–related inpatient admissions (1.29% vs. 1.43%), and a lower COVID-19 death rate (0.41% vs. 0.5%). These findings support the benefit of public health partnerships with advanced primary care practices during the COVID-19 pandemic.
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