A Difference-in-Difference Analysis of Changes in Quality, Utilization and Cost Following the Colorado Multi-Payer Patient-Centered Medical Home Pilot.

ABSTRACT:

Background

Research on the effects of patient-centered medical homes on quality and cost of care is mixed, so further study is needed to understand how and in what contexts they are effective.

Objective

We aimed to evaluate effects of a multi-payer pilot promoting patient-centered medical home implementation in 15 small and medium-sized primary care groups in Colorado.

Design

We conducted difference-in-difference analyses, comparing changes in utilization, costs, and quality between patients attributed to pilot and non-pilot practices.

Participants

Approximately 98,000 patients attributed to 15 pilot and 66 comparison practices 2 years before and 3 years after the pilot launch.

Main measures

Healthcare Effectiveness Data and Information Set (HEDIS) deriv

SUBMITTER: Rosenthal MB 

PROVIDER: S-EPMC4762834 | biostudies-literature | 2016 Mar

REPOSITORIES: biostudies-literature