Association between participation in a multipayer medical home intervention and changes in quality, utilization, and costs of care

JAMA

Volumn 311, Issue 8, 2014, Pages 815-825

  Friedberg, Mark W ^a,b,c   Schneider, Eric C ^a,b,c,d   Rosenthal, Meredith B ^d   Volpp, Kevin G ^e,f,g,h   Werner, Rachel M ^e,f  

^a RAND CORPORATION   (United States)

^b BRIGHAM AND WOMEN S HOSPITAL   (United States)

^c HARVARD MEDICAL SCHOOL   (United States)

^d HARVARD SCHOOL OF PUBLIC HEALTH   (United States)

^e VETERANS AFFAIRS MEDICAL CENTER   (United States)

^f UNIVERSITY OF PENNSYLVANIA   (United States)

^g UNIVERSITY OF PENNSYLVANIA   (United States)

^h UNIVERSITY OF PENNSYLVANIA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ARTICLE; CLINICAL EFFECTIVENESS; CLINICAL PRACTICE; CONTROLLED STUDY; DIABETIC NEPHROPATHY; FEMALE; HEALTH CARE COST; HEALTH CARE QUALITY; HEALTH CARE UTILIZATION; HOME CARE; HUMAN; MAJOR CLINICAL STUDY; MALE; MEDICAL SERVICE; MIDDLE AGED; OUTCOME ASSESSMENT; PATIENT ASSESSMENT; PILOT STUDY; PRIMARY MEDICAL CARE; PRIORITY JOURNAL; PROFESSIONAL COMPETENCE; PROFESSIONAL KNOWLEDGE; QUALITY CONTROL; SCREENING TEST; SENSITIVITY ANALYSIS;

EID: 84896712605     PISSN: 00987484     EISSN: 15383598     Source Type: Journal    
DOI: 10.1001/jama.2014.353     Document Type: Article

References (42)

1. Joint principles of the patient-centered medical home [March 2007]. American Academy of Family Physicians, American Academy of Pediatrics, American College of Physicians, American Osteopathic Association. http://www.acponline. org/running-practice/delivery-and-payment-models/pcmh/demonstrations/ jointprinc-05-17.pdf. Accessed January 5, 2014.
2. Statements of support. Patient-Centered Primary Care Collaborative. http://www.pcpcc.net/content/statements-support. Accessed January 5, 2014.
3. Friedberg MW, Lai DJ, Hussey PS, Schneider EC. A guide to the medical home as a practice-level intervention. Am J Manag Care. 2009;15(10)(suppl):S291- S299.
4. Bitton A, Martin C, Landon BE. A nationwide survey of patient centered medical home demonstration projects. J Gen Intern Med. 2010;25(6):584-592.
5. Patient centered medical home resource center: catalogue of federal PCMH activities. Agency for Healthcare Research and Quality. http://pcmh.ahrq.gov/ page/federal-pcmh-activities. Accessed January 5, 2014.
6. Peikes D, Zutshi A, Genevro JL, Parchman ML, Meyers DS. Early evaluations of the medical home: building on a promising start. Am J Manag Care. 2012;18(2):105-116.
7. Jackson GL, Powers BJ, Chatterjee R, et al. The patient-centered medical home: a systematic review. Ann Intern Med. 2013;158(3):169-178.
8. Hoff T, Weller W, DePuccio M. The patient-centered medical home: a review of recent research. Med Care Res Rev. 2012;69(6):619-644.
9. Crabtree BF, Nutting PA, Miller WL, Stange KC, Stewart EE, Jaén CR. Summary of the National Demonstration Project and recommendations for the patient-centered medical home. Ann Fam Med. 2010;8(suppl 1):S80-S90, S92.
10. Boult C, Reider L, Leff B, et al. The effect of guided care teams on the use of health services: results from a cluster-randomized controlled trial. Arch Intern Med. 2011;171(5):460-466.
11. Werner RM, Duggan M, Duey K, Zhu J, Stuart EA. The patient-centered medical home: an evaluation of a single private payer demonstration in New Jersey. Med Care. 2013;51(6):487-493.
12. Fifield J, Forrest DD, Burleson JA, Martin-Peele M, Gillespie W. Quality and efficiency in small practices transitioning to patient centered medical homes: a randomized trial. J Gen Intern Med. 2013;28(6):778-786.
13. Rosenthal MB, Friedberg MW, Singer SJ, Eastman D, Li Z, Schneider EC. Effect of a multipayer patient-centered medical home on health care utilization and quality: the Rhode Island chronic care sustainability initiative pilot program. JAMA Intern Med. 2013;173(20):1907-1913.
14. 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(5):835-843.
15. Gilfillan RJ, Tomcavage J, Rosenthal MB, et al. Value and the medical home: effects of transformed primary care. Am J Manag Care. 2010;16(8):607-614.
16. Gabbay RA, Bailit MH, Mauger DT, Wagner EH, Siminerio L. Multipayer patient-centered medical home implementation guided by the chronic care model. Jt Comm J Qual Patient Saf. 2011;37(6):265-273.
17. Gabbay RA, Friedberg MW, Miller-Day M, Cronholm PF, Adelman A, Schneider EC. A positive deviance approach to understanding key features to improving diabetes care in the medical home. Ann Fam Med. 2013;11(suppl 1):S99-S107.
18. The breakthrough series: IHI's collaborative model for achieving breakthrough improvement. Institute for Healthcare Improvement. http://www.ihi.org/resources/Pages/IHIWhitePapers/ TheBreakthroughSeriesIHIsCollaborativeModelforAchievingBreakthroughImprovement. aspx. Accessed January 5, 2014.
19. Improving performance in practice. American Board of Medical Specialties. http://www.ipipprogram.org. Accessed January 5, 2014.
20. National Committee for Quality Assurance. Standards and Guidelines for Physician Practice Connections-Patient-Centered Medical Home (PPC-PCMH). Washington, DC: National Committee for Quality Assurance; 2008.
21. Friedberg MW, Safran DG, Coltin KL, Dresser M, Schneider EC. Readiness for the patient-centered medical home: structural capabilities of Massachusetts primary care practices. J Gen Intern Med. 2009;24(2):162-169.
22. Rosenthal MB, Abrams MK, Bitton A. Recommended core measures for evaluating the patient-centered medical home: cost, utilization, and clinical quality. Commonwealth Fund. http://www.commonwealthfund.org/~/media/Files/ Publications/Data%20Brief/2012/1601-Rosenthal-recommended-core-measures-PCMH-v2. pdf. Accessed January 5, 2014.
23. Rosenthal MB, Beckman HB, Forrest DD, Huang ES, Landon BE, Lewis S. Will the patient-centered medical home improve efficiency and reduce costs of care? a measurement and research agenda. Med Care Res Rev. 2010;67(4):476-484.
24. Optum normalized pricing for health care analytics. Optum. http://www.optuminsight.com. Accessed February 4, 2014.
25. McWilliams JM, Chernew ME, Zaslavsky AM, Landon BE. Post-acute care and ACOs: who will be accountable? Health Serv Res. 2013;48(4):1526-1538.
26. Rosenbaum PR, Rubin DB. The central role of the propensity score in observational studies for causal effects. Biometrika. 1983;70(1):41-55.
27. Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis. 1987;40(5):373-383. (Pubitemid 17055592)
28. 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(10):909-918.
29. Buntin MB, Zaslavsky AM. Too much ado about two-part models and transformation? comparing methods of modeling Medicare expenditures. J Health Econ. 2004;23(3):525-542. (Pubitemid 38569537)
30. Liang K, Zeger S. Longitudinal data analysis using generalized linear models. Biometrika. 1986;73:13-22.
31. Zeger SL, Liang KY. Longitudinal data analysis for discrete and continuous outcomes. Biometrics. 1986;42(1):121-130.
32. Graubard BI, Korn EL. Predictive margins with survey data. Biometrics. 1999;55(2):652-659. (Pubitemid 29302598)
33. Setodji CM, Scheuner M, Pankow JS, Blumenthal RS, Chen H, Keeler E. A graphical method for assessing risk factor threshold values using the generalized additive model: the multi-ethnic study of atherosclerosis. Health Serv Outcomes Res Methodol. 2012;12(1):62-79.
34. Peikes D, Dale S, Lundquist E, Genevro J, Meyers D. Building the evidence base for the medical home: what sample and sample size do studies need? Agency for Healthcare Research and Quality. http://pcmh.ahrq.gov/page/building- evidence-base-medical-home-what-sample-and-sample-size-do-studies-need. Accessed February 4, 2014.
35. 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(9):e71-e87.
36. Diedhiou A, Probst JC, Hardin JW, Martin AB, Xirasagar S. Relationship between presence of a reported medical home and emergency department use among children with asthma. Med Care Res Rev. 2010;67(4):450-475.
37. Roby DH, Pourat N, Pirritano MJ, et al. Impact of patient-centered medical home assignment on emergency room visits among uninsured patients in a county health system. Med Care Res Rev. 2010;67(4):412-430.
38. Jaén CR, Ferrer RL, Miller WL, 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.
39. Nutting PA, Miller WL, Crabtree BF, Jaen CR, Stewart EE, Stange KC. Initial lessons from the first national demonstration project on practice transformation to a patient-centered medical home. Ann Fam Med. 2009;7(3):254-260.
40. Friedberg MW, Coltin KL, Safran DG, Dresser M, Zaslavsky AM, Schneider EC. Associations between structural capabilities of primary care practices and performance on selected quality measures. Ann Intern Med. 2009;151(7):456-463.
41. Flottemesch TJ, Anderson LH, Solberg LI, Fontaine P, Asche SE. Patient-centered medical home cost reductions limited to complex patients. Am J Manag Care. 2012;18(11):677-686.
42. Clarke RM, Tseng CH, Brook RH, Brown AF. Tool used to assess how well community health centers function as medical homes may be flawed. Health Aff (Millwood). 2012;31(3):627-635.