In a study of medical home implementation at federally qualified health centers, researchers found that costs increased.
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According to CareFirst, members in its medical home arrangements had significantly lower utilization of hospital and saved $130 million over expected costs.
http://www.prnewswire.com/news-releases/patient-centered-medical-home-program-shows-promising-quality-trends-and-continued-savings-on-expected-costs-266580761.htmlA study published in the Annals of Internal Medicine finds that medical home-qualified physician groups produced improvement on only four of ten quality improvement measures, compared to non-medical home practices using EHRs or practices using paper records, and the improvements were quite modest.
http://annals.org/article.aspx?articleid=1877017An analysis reported in the American Journal of Managed Care suggests that a patient-centered medical home can reduce reduce utilization and spending for the highest-risk, and therefore highest-cost, patients. Almost all the reductions occurred through fewer inpatient hospital admissions.
http://www.ajmc.com/publications/issue/2014/2014-vol20-n3/medical-homes-and-cost-and-utilization-among-high-risk-patients/1It is cooling down across most of the country, but our Potpourri remains red-hot, with nuggets on the moderation in health spending over the last few years, how to change…
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One of the hot new concepts is use of "medical home" physician practices to improve quality and lower costs. A study from Health Affairs suggests that practices having medical home…
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Welcome to 2012, when you can once again expect a series of high-quality Potpourris from our immense data bank! Our initial foray includes the Independence at Home CMS demo, discharge…
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Another one of the concepts being counted on to help improve health care quality and lower costs in the wake of reform is the "medical home." An AHRQ draft review…
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No Potpourri next week due to the holiday, so enjoy this festive collection of health care nuggets, including pay-for-performance in large physician groups, employer views on the effect of the…
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October already!! Our 39th Potpourri of the year has many autumnal pleasures including selections on CMS' Comprehensive Primary Care Initiative, a proposed guidance for FDA to use for mHealth regulation,…
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Research continues to accumulate suggesting that the patient-centered medical home can save money while improving care and patient satisfaction. A new report summarizes this evidence, but the applicability of the…
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A study of a medical home model indicates reductions in hospital admissions and readmissions and possibly a reduction in total spending. It is not clear, however, what the full economic…
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About this Blog
The Healthy Skeptic is a website about the health care system, and is written by Kevin Roche, who has many years of experience working in the health industry. Mr. Roche is available to assist health care companies through consulting arrangements through Roche Consulting, LLC and may be reached at khroche@healthy-skeptic.com.
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