Page 16 The Patient Centered Medical Homes Impacton Cost and Quality

Table 2 continued

Initiative Cost & Utilization Population Health Access Patient and
& Prevention Clinician
Satisfaction
Oregon
Oregon Coordinated • IHZHU (' YLVLWV á LQFUHDVH LQ
Care Organizations • UHGXFWLRQ LQ (' RXWSDWLHQW SULPDU\ FDUH
(CCOs) Oregon Health VSHQGLQJ visits
Authority 50 • IHZHU LQSDWLHQW á LQFUHDVH LQ 3&0+
Published: Nov. 2013 UHDGPLVVLRQV HQUROOPHQW
Data Review: 2012-2013
• LQFUHDVH LQ SULPDU\
FDUH VSHQGLQJ

Pennsylvania
Highmark Patient- • IHZHU LQSDWLHQW
Centered Medical Home DGPLVVLRQV
Pilot 51 • IHZHU GD\
LQSDWLHQW UHDGPLVVLRQV
Published: Jan. 2013 • GHFUHDVH LQ WRWDO
Data Review: 2011-2012 3030 FRVWV IRU
FRURQDU\ DUWHU\ GLVHDVH
SDWLHQWV
• GHFUHDVH LQ
WRWDO 3030 FRVWV IRU
diabetics
• GHFUHDVH LQ RYHUDOO
KHDOWK FDUH FRVWV

Discussion

7KRXJK WKH PDJQLWXGH DQG FRQVLVWHQF\ RI WKH 3&0+ÚV HIIHFWV YDU\ DFURVV VWXGLHV DQG VHWWLQJV DQG VDPSOH VL]HV
DQG WLPH IUDPHV DUH FRQVWUDLQHG LQ WKH DJJUHJDWH WKHVH VWXGLHV VKRZ SURJUHVV RQ LPSRUWDQW 7ULSOH $LP PHWULFV ,Q
RUGHU WR LGHQWLI\ FRQVLVWHQFLHV RU JDSV LQ PHDVXUHV DV UHSRUWHG E\ WKH 3&0+ VWXGLHV ZH WKHQ FDWHJRUL]HG WKH
HYDOXDWLRQV LQWR HLJKW PRUH VSHFL÷F RXWFRPH PHDVXUHV DQG DVVHVVHG WKH IUHTXHQF\ RI PHDVXUHV LQ HDFK FDWHJRU\
ZKLFK FDQ EH IRXQG LQ 7DEOH

Table 3. PCMH Studies from August 2012 to December 2013 that report outcomes (by category and by
frequency)

Total Cost Fewer Inpatient Fewer Improvement in Improved Increase in Preventive Improvement in
Studies Reductions Fewer ED Visits Admissions Readmissions Population Health Access Services Satisfaction
PEER-REVIEW/ACADEMIA

Reported (n=13) 61% 61% 31% 13% 31% 31% 31% 23%
outcomes
(n=8) (n=8) (n=4) (n=1) (n=4) (n=4) (n=4) (n=3)
INDUSTRY REPORTS
Reported (n=7) 57% 57% 57% 29% 29% 14% 29% 14%
outcomes
(n=4) (n=4) (n=4) (n=2) (n=2) (n=1) (n=2) (n=1)

Decreased Cost and Utilization. 2I WKH 3&0+ HYDOXDWLRQV D PDMRULW\ VKRZ UHGXFWLRQV LQ FRVW RU XWLOL]DWLRQ
$FURVV ERWK SHHU UHYLHZHG DQG LQGXVWU\ JHQHUDWHG VWXGLHV WKH WZR PRVW FRPPRQO\ UHSRUWHG PHWULFV UHSRUWHG
ZHUH UHGXFWLRQV LQ HPHUJHQF\ GHSDUWPHQW (' XVH SHHU UHYLHZ LQGXVWU\ DQG FRVW UHGXFWLRQV
SHHU UHYLHZ LQGXVWU\ ,Q WKH LQGXVWU\ JHQHUDWHG VWXGLHV WKHUH ZDV DOVR D KLJK UDWH RI UHSRUWLQJ UHGXFWLRQV LQ

PAGE 16