Model Homes: Evaluating Approaches to Patient-centered Medical Home Implementation.

ABSTRACT:

Background

The patient-centered medical home (PCMH) model has been widely adopted, but the evidence on its effectiveness remains mixed. One potential explanation for these mixed findings is variation in how the model is implemented by practices.

Objective

To identify the impact of different approaches to PCMH adoption on health care utilization in a long-term, geographically diverse sample of patients.

Design

Difference-in-differences evaluation of PCMH impact on cost and utilization.

Subjects

A total of 5,314,284 patient-year observations from the HealthCore Integrated Research Database, and 5943 practices which adopted the PCMH model in 14 states between 2011 and 2015.

Intervention

PCMH adoption, as defined by the National Committee for Quality Assuran

SUBMITTER: Saynisch PA 

PROVIDER: S-EPMC7993910 | biostudies-literature | 2021 Mar

REPOSITORIES: biostudies-literature