Page 5 The Patient Centered Medical Homes Impacton Cost and Quality

TABLE OF CONTENTS

EXECUTIVE SUMMARY .........................................................................6

SECTION ONE
An Overview of the Patient-Centered Medical Home .............................8
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PCMH recognition programs ..........................................................................................................9

SECTION TWO
Summary of Cost & Quality Results.......................................................10

Methods ........................................................................................................................................... 10
Results ............................................................................................................................................. 10

Table 1. Peer-reviewed reports ...........................................................................................................11
Table 2. Industry-generated reports ..................................................................................................15
Discussion ....................................................................................................................................... 16

Table 3. Number and percent of studies reporting medical home metrics ...........................16
The challenge of studying the PCMH ................................................................................................18

The right metrics.................................................................................................................................18
The right methods...............................................................................................................................18

SECTION THREE
The Future of Primary Care and the PCMH ...............................................20

The PCMH’s Role in Delivery System Reform .......................................................................... 20

The foundation of high-performing Accountable Care Organizations ..................................20

A hub for medical neighborhood.........................................................................................................20

The payment reform imperative ..........................................................................................................21
All-payer or multi-payer payment reform ........................................................................................21

Employer and consumer engagement.................................................................................................22
Conclusion ....................................................................................................................................... 23

APPENDIX A: PCMH Initiatives and Evidence since 2009 ....................25

APPENDIX B: The Year in Review: Case Study Highlights ....................31

REFERENCES ......................................................................................34

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