Page 15 The Patient Centered Medical Homes Impacton Cost and Quality

Table 2. Industry-Reported Outcomes 2012-2013, by location and by category

Initiative Cost & Utilization Population Health Access Patient and
& Prevention Clinician
Satisfaction
Alabama
BlueCross BlueShield • )HZHU (' YLVLWV Compared to network • 2YHUDOO LPSURYHPHQW LQ
Alabama Medical Home • )HZHU KRVSLWDO GD\V avg., PCMHs had: SDWLHQW VDWLVIDFWLRQ
Program • (VWLPDWHG FRVW VDYLQJV • KLJKHU UDWH
45
Published: Aug. 2012 RI PLOOLRQ RI FRORUHFWDO FDQFHU
Data Review: 2009 - 2011 VFUHHQLQJV
• KLJKHU UDWH RI
EUHDVW FDQFHU VFUHHQLQJV
• KLJKHU UDWH RI
DSSURSULDWH WHVWLQJ RI
FKLOGUHQ Z SKDU\QJLWLV

Connecticut
Connecticut Health • IHZHU PRQWKO\ • 0RGHVW LPSURYHPHQWV
Enhancement Program 46 ED visits LQ DGKHUHQFH WR KHDUW
Published: Jan. 2013 • IHZHU VSHFLDOW\ GLVHDVH EORRG SUHVVXUH
Data Review: 2011-2012 FDUH YLVLWV FKROHVWHURO DQG GLDEHWHV
• LQFUHDVH LQ SULPDU\ PHGLFDWLRQ
FDUH YLVLWV
• GHFUHDVH LQ PHGLFDO
WUHQG JURZWK UDWH

Maryland
CareFirst BlueCross • PLOOLRQ LQ WRWDO FRVWV • KLJKHU TXDOLW\
BlueShield savings VFRUHV IRU SDQHOV WKDW
47
Published: June 2013 • 3DQHOV HDUQLQJ UHFHLYHG LQFHQWLYHV
Data Review: 2010-2012 incentives achieved • 4XDOLW\ VFRUHV IRU
DYHUDJH RI VDYLQJV 3&0+ SDQHOV URVH E\
Y KLJKHU FRVWV IURP WR
IRU WKRVH QRW HDUQLQJ
incentives

Michigan
Blue Cross Blue Shield • IHZHU DGXOW ('
Michigan PCMH visits
Program 48 • IHZHU SHGLDWULF
Published: July 2013 (' YLVLWV IHZHU
'DWD 5HYLHZ 1RW 6SHFL÷HG SULPDU\ FDUH VHQVLWLYH
ED visits
• ORZHU UDWH RI
DGXOW SULPDU\ FDUH
sensitive ED visits
• IHZHU DGXOW
DPEXODWRU\ FDUH
VHQVLWLYH LQSDWLHQW
DGPLVVLRQV

New Jersey
Horizon BlueCross • LQFUHDVH LQ
BlueShield New Jersey FRORUHFWDO VFUHHQLQJV
PCMH Pilot Y LQFUHDVH LQ QRQ
Monmouth County 3&0+V
Public Employees 49 • LQFUHDVH LQ EUHDVW
Published: Dec. 2013 FDQFHU VFUHHQLQJV Y
Data Review: 2012-2013 LQFUHDVH LQ QRQ 3&0+V

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