The patient-centered medical home an evaluation of a single private payer demonstration in New Jersey

Medical Care

Volumn 51, Issue 6, 2013, Pages 487-493

  Werner, Rachel M ^a   Duggan, Mark ^b   Duey, Katia ^a   Zhu, Jingsan ^a   Stuart, Elizabeth A ^c  

^a UNIVERSITY OF PENNSYLVANIA   (United States)

^b UNIVERSITY OF PENNSYLVANIA   (United States)

^c JOHNS HOPKINS BLOOMBERG SCHOOL OF PUBLIC HEALTH   (United States)

Author keywords

Costs; Medical home; Quality

Indexed keywords

ARTICLE; COHORT ANALYSIS; CONTROLLED STUDY; HEALTH CARE COST; HEALTH CARE PLANNING; HEALTH CARE PRACTICE; HEALTH CARE QUALITY; HEALTH CARE SYSTEM; HEALTH CARE UTILIZATION; HUMAN; KIDNEY DISEASE; MAMMOGRAPHY; PATIENT CENTERED MEDICAL HOME; PRIMARY MEDICAL CARE; PRIORITY JOURNAL; SCREENING; UNITED STATES;

ADOLESCENT; ADULT; FEMALE; HUMANS; MALE; MIDDLE AGED; MODELS, ORGANIZATIONAL; NEW JERSEY; ORGANIZATIONAL INNOVATION; PATIENT-CENTERED CARE; PILOT PROJECTS; PRIMARY HEALTH CARE; QUALITY OF HEALTH CARE; SINGLE-PAYER SYSTEM;

EID: 84879092087     PISSN: 00257079     EISSN: 15371948     Source Type: Journal    
DOI: 10.1097/MLR.0b013e31828d4d29     Document Type: Article

References (38)

1. National Committee for Quality Assurance. NCQA patient-centered medical home. 2011. Available at: http://www.ncqa.org/LinkClick.aspx?fileticket= ycS4coFOGnw%3d&tabid=631. Accessed August 16, 2012.
2. Jackson GL, Powers BJ, Chatterjee R, et al. The patient-centered medical home: a systematic review. Ann Intern Med. 2013;158:169-178.
3. Peikes D, Zutshi A, Genevro JL, et al. Early evaluations of the medical home: building on a promising start. Am J Manag Care. 2012;18:105-116.
4. Reid RJ, Fishman PA, Yu O, et al. Patient-centered medical home demonstration: a prospective, quasi-experimental, before and after evaluation. Am J Manag Care. 2009;15:e71-e87.
5. Reid RJ, Coleman K, Johnson EA, et al. The group health medical home at year two: cost savings, higher patient satisfaction, and less burnout for providers. Health Aff (Millwood). 2010;29:835-843.
6. Coleman K, Reid RJ, Johnson E, et al. Implications of reassigning patients for the medical home: a case study. Ann Fam Med. 2010;8:493-498.
7. Fishman PA, Johnson EA, Coleman K, et al. Impact on seniors of the patient-centered medical home: evidence from a pilot study. Gerontologist. 2012. Available at: http://gerontologist.oxfordjournals.org/content/early/2012/03/15/ geront.gnr158.full.pdf+html. Accessed March 17, 2013.
8. Solberg LI, Asche SE, Fontaine P, et al. Trends in quality during medical home transformation. Ann Fam Med. 2011;9:515-521.
9. Steele GD, Haynes JA, Davis DE, et al. How Geisinger's advanced medical home model argues the case for rapid-cycle innovation. Health Aff (Millwood). 2010;29:2047-2053.
10. Gilfillan RJ, Tomcavage J, Rosenthal MB, et al. Value and the medical home: effects of transformed primary care. Am J Manag Care. 2010;16:607-614.
11. Maeng D, Graham J, Graf T, et al. Reducing long-term cost by transforming primary care: evidence from Geisinger's medical home model. Am J Manag Care. 2012;18:149-155.
12. Martin AB, Crawford S, Probst JC, et al. Medical homes for children with special health care needs: a program evaluation. J Health Care Poor Underserved. 2007;18:916-930.
13. Nutting PA, Crabtree BF, Stewart EE, et al. Effect of facilitation on practice outcomes in the National Demonstration Project model of the patient-centered medical home. Ann Fam Med. 2010;8(Suppl 1):S33-S44.
14. Nutting PA, Crabtree BF, Miller WL, et al. Journey to the patientcentered medical home: a qualitative analysis of the experiences of practices in the National Demonstration Project. Ann Fam Med. 2010;8(Suppl 1):S45-S56.
15. Jaén CR, Crabtree BF, Palmer RF, et al. Methods for evaluating practice change toward a patient-centered medical home. Ann Fam Med. 2010;8(suppl 1):S9-S20.
16. Crabtree BF, Nutting PA, Miller WL, et al. Summary of the National Demonstration Project and recommendations for the patient-centered medical home. Ann Fam Med. 2010;8(Suppl 1):S80-S90.
17. Miller WL, Crabtree BF, Nutting PA, et al. Primary care practice development: a relationship-centered approach. Ann Fam Med. 2010;8(suppl 1):S68-S79.
18. Jaén CR, Ferrer RL, Miller L, et al. Patient outcomes at 26 months in the Patient-Centered Medical Home National Demonstration Project. Ann Fam Med. 2010;8(Suppl 1):s57-s67.
19. Stewart EE, Nutting PA, Crabtree BF. Implementing the patientcentered medical home: observation and description of the National Demonstration Project. Ann Fam Med. 2010;8(Suppl 1):S21-S32.
20. Nutting PA, Miller WL, Crabtree BF, et al. Initial lessons from the first National Demonstration Project on practice transformation to a patientcentered medical home. Ann Fam Med. 2009;7:254-260.
21. Farmer JE, Clark MJ, Drewel EH, et al. Consultative care coordination through the medical home for CSHCN: a randomized controlled trial. Matern Child Health J. 2011;15:1110-1118.
22. Domino ME, Humble C, Lawrence WW Jr, et al. Enhancing the medical homes model for children with asthma. Med Care. 2009;47:1113-1120.
23. Bitton A, Martin C, Landon B. A nationwide survey of patient centered medical home demonstration projects. J Gen InternMed. 2010;25:584-592.
24. Patel UB, Rathjen C, Rubin E. Horizon's patient-centered medical home program shows practices need much more than payment changes to transform. Health Aff (Millwood). 2012;31:2018-2027.
25. Rosenbaum PR, Rubin DB. Constructing a control group using multivariate matched sampling methods that incorporate the propensity score. Am Stat. 1985;39:33-38.
26. Stuart EA. Matching methods for causal inference: a review and a look forward. Stat Sci. 2010;25:1.
27. National Committee for Quality Assurance. HEDIS 2011 Technical Specifications, Volume 2. Washington, DC: National Committee for Quality Assurance; 2011.
28. Agency for Healthcare Research and Quality. Prevention quality indicators overview. AHRQ Quality Indicators. 2004. Available at: http://www. qualityindicators.ahrq.gov/modules/pqi-overview.aspx. Accessed March 17, 2012.
29. The Center for Health and Public Service Research. NYU ED algorithm, 2000. Available at: http://wagner.nyu.edu/chpsr/index.html?p=25. Accessed June 1, 2012.
30. Cronholm P, Shea JA, Werner R M M-D M, et al. The patient centered medical home: key factors driving the transformation process. Working paper. 2012.
31. True G, Butler AE, Lamparska BG, et al. Open access in the patient centered medical home: lessons from the Veterans Health Administration. J Gen Intern Med. 2012. (In press).
32. Boult C, Reider L, Frey K, et al. Early effects of "Guided Care" on the quality of health care for multimorbid older persons: a cluster-randomized controlled trial. J Gerontol A Biol Sci Med Sci. 2008;63:321-327.
33. Boyd CM, Boult C, Shadmi E, et al. Guided care for multimorbid older adults. Gerontologist. 2007;47:697-704.
34. Zuckerman B, Parker S, Kaplan-Sanoff M, et al. Healthy steps: a case study of innovation in pediatric practice. Pediatrics. 2004;114:820-826.
35. Toseland RW, O'Donnell JC, Engelhardt JB, et al. Outpatient geriatric evaluation and management: is there an investment effect? Gerontologist. 1997;37:324-332.
36. Rosenthal MB, Dudley RA. Pay-for-performance: will the latest payment trend improve care? JAMA. 2007;297:740-744.
37. Werner RM, Kolstad JT, Stuart EA, et al. The effect of pay-forperformance In hospitals: Lessons for quality improvement. Health Aff (Millwood). 2011;30:690-698.
38. Song Z, Safran DG, Landon BE, et al. Health care spending and quality in year 1 of the Alternative Quality Contract. N Engl J Med. 2011;365:909-918.