Patient-centered medical homes, accountable care organizations, who can keep all the delivery innovations straight! Research summarized in an Annals of Internal Medicine article reviews the state of the evidence on the use of medical homes. So far, not great, small gains in quality and no showing of overall cost savings.
Our penultimate Potpourri for 2012 is a festive blend of health data, including avoidance of health care due to costs, rates of expected spending increases in 2013, costs for younger versus older physicians, internet versus print health interventions, medical home results and poor health behaviors and health spending.
A review article in the American Journal of Managed Care summarizes the evidence to date on medical homes. The results look modestly promising, with evidence of improving quality of care, some signs of cost control, but other evidence that suggests net cost increases.
Annals of Family Medicine: Progress of Ontario’s Family Health Team Model: A Patient-Centered Medical Home