Thursday, February 27, 2014

Article on Medical Homes

The February 26, 2014 volume of JAMA contains an article on medical homes.  Written by Dr. Mark W. Friedberg, Dr. Eric C. Schneider, Dr. Meredith B. Rosenthal, Dr. Kevin G. Volpp, and Dr. Rachel M. Werner, the article, Association Between Participation in a Multipayer Medical Home Intervention and Changes in Quality, Utilization, and Costs of Care, focused on a pilot project in Pennsylvania.  The abstract notes that the goal of the study was "[t]o measure associations between participation in the Southeastern Pennsylvania Chronic Care Initiative, one of the earliest and largest multipayer medical home pilots conducted in the United States, and changes in the quality, utilization, and costs of care."  The abstract offers this conclusion: "[a] multipayer medical home pilot, in which participating practices adopted new structural capabilities and received NCQA certification, was associated with limited improvements in quality and was not associated with reductions in utilization of hospital, emergency department, or ambulatory care services or total costs over 3 years. These findings suggest that medical home interventions may need further refinement."  A subscription is required to access the full article.  The website also has an interview with the author.

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