Page 13 The Patient Centered Medical Homes Impacton Cost and Quality

Table 1 continued

Location/Initiative Cost & Utilization Population Health Access Patient or Clinician
& Preventive Satisfaction
Services
New Jersey
Horizon Blue Cross Blue • +HDOWK FDUH XWLOL]DWLRQ • ,QFUHDVH LQ EUHDVW FDQFHU
Shield New Jersey Single and costs did not VFUHHQLQJV LQFUHDVHG E\
Private Payer Pilot 38 VLJQL÷FDQWO\ FKDQJH SHUFHQWDJH SRLQWV
Published: June 2013 KRZHYHU WKLV ZDV RQ D EDVH RI S

Data Review: 2010-2011 D VLQJOH \HDU VWXG\ • ,QFUHDVH LQ QHSKURSDWK\
DQDO\]LQJ HLJKW SUDFWLFHV
VFUHHQLQJV E\
SHUFHQWDJH SRLQWV RQ D
EDVH RI S
New York
EmblemHealth High • IHZHU (' YLVLWV • ,PSURYHPHQWV LQ %3
Value Medical Home SHU \HDU VDYLQJ FRQWURO Y S
Initiative 39 DSSUR[LPDWHO\ LQ DQG EUHDVW FDQFHU
* randomized trial (' FRVWV SHU SK\VLFLDQ VFUHHQLQJV Y
Published: June 2013 SHU \HDU S S
Data Review: 2008-2010 • 3K\VLFLDQV LPSURYHG
HI÷FLHQF\ IRU DOO HSLVRGH
W\SHV E\ S

New York

WellPoint’s Single Health Compared to control • +LJKHU UDWHV RI +E$ F
Plan Model New York group: WHVWLQJ Y FRQWURO JURXS
PCMH 40 • IHZHU (' YLVLWV IRU YHUVXV
Published: Sept. 2012 DGXOWV IRU FKLOGUHQ S!
Data Review: 2007-2010 • ORZHU ULVN
DGMXVWHG WRWDO 3030
FRVWV IRU DGXOWV
ORZHU IRU FKLOGUHQ
• /RZHU UDWHV RI
LQDSSURSULDWH DQWLELRWLF
XVH Y
S

Pennsylvania
UPMC Health Plan • IHZHU (' YLVLWV • 3&0+ SUDFWLFHV
41
Medical Home Pilot S FRQVLVWHQWO\
Published: Nov. 2012 • LQFUHDVH LQ RXWSHUIRUPHG WKH UHVW
RI WKH QHWZRUN DFURVV DOO
Data Review: 2008-2010 LQSDWLHQW DGPLVVLRQV Y
IRU QRQ 3&0+V TXDOLW\ PHDVXUHV
S
• IHZHU
UHDGPLVVLRQV
S
IHZHU
S
• UHWXUQ RQ
LQYHVWPHQW IRU 3&0+V

Rhode Island
Rhode Island Chronic • IHZHU DPEXODWRU\ • ,PSURYHPHQWV ZHUH
Care Sustainability FDUH VHQVLWLYH (' YLVLWV QRWHG IRU 3&0+V DFURVV
Initiative 42 SHU PHPEHU GLDEHWHV FDUH PHDVXUHV
S FRPSDUHG ZLWK FRQWURO
Published: Nov. 2013 • )HZHU RYHUDOO (' YLVLWV SUDFWLFHV DOWKRXJK QRW
Data Review: 2006 - 2010 LQSDWLHQW DGPLVVLRQV VWDWLVWLFDOO\ VLJQL÷FDQW
DQG DPEXODWRU\ FDUH
VHQVLWLYH LQSDWLHQW
DGPLVVLRQV QRW
VWDWLVWLFDOO\ VLJQL÷FDQW

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