Study #2 - A 2010 study led by researchers at Harvard

Geisinger Health System, Group Health Cooperative,

Medical School analyzed seven medical home programs

Intermountain Health Care, MeritCare Health System and

(Figure 5) to assess features of those deemed successful.⁸

Blue Cross Blue Shield of North Dakota, and Vermont’s

Sponsors of these programs included prominent

Blueprint for Health. The selected programs were measured

commercial health plans, integrated health systems and

on improvements in the number of hospitalizations and

government-sponsored programs: Colorado Medical

savings per patient.

Homes for Children, Community Care of North Carolina,

Figure 5: Analysis of Seven PCMH Pilot Programs⁹

Pilot

# of Patients

Population

Incentives

Pay for

Colorado Medical

Medicaid

10,781

Performance

Homes for Children

CHP+

(P4P)

Per Member

Community Care of

Per Month

> 1 million

Medicaid

North Carolina

(PMPM)

payment

P4P; PMPM

Geisinger

Medicare

TBD

payment;

(ProvenHealthNavigator)

Advantage

shared savings

Group Health Cooperative

9,200

All

TBD

Intermountain Health Care

Chronic

4,700

P4P

(Care Management Plus)

disease

MeritCare Health System

PMPM

and Blue Cross Blue Shield

192

Diabetes

payment;

of North Dakota

shared savings

Vermont BluePrint

PMPM

60,000

All

for Health

payment

Adapted from Fields D, Leshen E, and Patel K. “Driving quality gains and cost savings through adoption of medical homes,”

Health Affairs, May 2010; 29(5): 819-826. Appendix Exhibit 1.

8 Fields D, Leshen E, Patel K. “Driving quality gains and cost savings through adoption of medical homes,” Health Affairs, May 2010; 29(5): 819-27.

9 Ibid

Medical Home 2.0: The Present, the Future