journal article
Jul 09, 2013
The Patient‐Centered Medical Home: A Future Standard for American Health Care?
Abstract
The patient‐centered medical home has been promoted as a way of organizing health service delivery to reduce costs while offering superior health outcomes and coordination of care. The Patient Protection and Affordable Care Act of 2010 promotes the patient‐centered medical home as a tool to reshape the delivery of health care in the United States. Preliminary findings from demonstration projects indicate positive overall results in terms of access, quality of care, and cost containment, and the model should continue to be reviewed for potential national adoption. However, there is significant variation in individual medical home setups, reimbursement arrangements, and evaluation methods, making the model difficult to assess, compare, and implement. When developing and evaluating this model, policy makers need to provide continuous support for practice transformation, adopt consistent outcome measures, and have realistic expectations about the timeline for such transformation.
Topics
No keywords indexed for this article. Browse by subject →
References
46
[1]
American Academy of Family Physicians (AAFP) American Academy of Pediatrics (AAP) American College of Physicians (ACP) and American Osteopathic Association (AOA).2010.Joint Principles for the Medical Education of Physicians as Preparation for Practice in the Patient‐Centered Medical Home.http://www.aafp.org/online/etc/medialib/aafp_org/documents/news_pubs/ann/joint‐principles‐for‐med‐ed.Par.0001.File.dat/PCMH‐educ‐joint‐principles‐120710.PDF[accessed May 26 2013].
[2]
Arvantes James.2010.CMS Announces New Innovation Center Multipayer Demonstration Project. AAFP News Now November 19.http://www.aafp.org/online/en/home/publications/news/news‐now/government‐medicine/20101119innovationcenter.html[accessed May 26 2013].
[4]
[9]
Cassidy Amanda.2010.Patient‐Centered Medical Homes.Health Affairs Health Policy Brief September 14.http://www.healthaffairs.org/healthpolicybriefs/brief.php?brief_id=25[accessed May 29 2013].
[10]
Centers for Medicare and Medicaid Services (CMS).2010.Multi‐Payer Advanced Primary Care Practice (MAPCP) Demonstration Fact Sheet(revised April 5 2012).http://innovation.cms.gov/Files/fact‐sheet/mapcpdemo‐Fact‐Sheet.pdf[accessed May 29 2013].
[11]
Centers for Medicare and Medicaid Services (CMS).2011.EHR Incentive Programs.http://www.cms.gov/Regulations‐and‐Guidance/Legislation/EHRIncentivePrograms/index.html?redirect=/ehrincentiveprograms/[accessed May 29 2013].
[12]
Commonwealth Fund.2011.New International Health Survey of Sicker Adults Finds Those with a Medical Home Fare Better. News release November 9.http://www.commonwealthfund.org/News/News‐Releases/2011/Nov/International‐Health‐Policy‐Survey.aspx[accessed May 29 2013].
[13]
[16]
Gilfillan Rick.2010.CMS Listening Session Regarding: Physician Feedback Program and Implementation of the Value‐Based Payment Modifier for Fee‐for‐Service Medicare.http://www.cms.gov/Medicare/Medicare‐Fee‐for‐Service‐Payment/PhysicianFeedbackProgram/downloads/092410_Listening_Session_Feedback_Program_Transcript.pdf[accessed May 29 2013].
[17]
Goedert Joseph.2010.Will Meaningful Use Incentives Work? Health Data Management July 28.http://www.healthdatamanagement.com/news/meaningful_use‐40689‐1.html[accessed May 29 2013].
[18]
[19]
Grumbach Kevin (2010)
[20]
Health2 Resources "Hudson Valley's Medical Home Transformation Offers a Glimpse of What's Possible" Hudson Valley Initiative (2010)
[22]
[23]
Kaiser Permanente "Kaiser Permanente's Alide Chase Featured in Radio Interview about New Book" Pursuing the Triple Aim (2012)
[25]
"New Patient‐Centered Medical Home Standards Align with MU" Healthcare IT News (2011)
[26]
Mosquera Mary.2012.“Triple Aim” Is Priority for Tavenner and CMS.Healthcare Finance News January 27.http://www.healthcarefinancenews.com/news/triple‐aim‐priority‐tavenner‐and‐cms[accessed May 29 2013].
[27]
Murray Mark "Same‐Day Appointments: Exploding the Access Paradigm" Family Practice Management (2000)
[28]
National Committee for Quality Assurance (NCQA).2011a.NCQA's New Distinction in Patient Experience Reporting.http://www.ncqa.org/tabid/1429/Default.aspx[accessed May 29 2013].
[29]
National Committee for Quality Assurance (NCQA).2011b.Patient Centered Medical Home (PCMH) 2011 Recognition Program.http://www.ncqa.org/portals/0/Public%20Policy/PCMH_2011_fact_sheet.pdf[accessed May 29 2013].
[30]
National Committee for Quality Assurance (NCQA).2011c.Standards and Guidelines for NCQA's Patient‐Centered Medical Home (PCMH) 2011.http://www.ncqa.org/PublicationsProducts/RecognitionProducts/PCMHPublications.aspx[accessed May 29 2013].
[31]
New York State Department of Health.2009.New York State Medicaid Update.http://www.health.ny.gov/health_care/medicaid/program/update/2009/[accessed May 29 2013].
[32]
[33]
[34]
Patient‐Centered Primary Care Collaborative.2007.Joint Principles of the Patient Centered Medical Home.http://www.pcpcc.net/content/joint‐principles‐patient‐centered‐medical‐home[accessed May 29 2013].
[35]
Patient‐Centered Primary Care Collaborative.2008.Patient Centered Medical Home: Building Evidence and Momentum.http://www.aafp.org/online/etc/medialib/aafp_org/documents/press/pcmh‐summit/pcmh‐pilot‐demonstration‐report.Par.0001.File.tmp/PilotReportFINAL.pdf[accessed May 29 2013].
[36]
Patient‐Centered Primary Care Collaborative.2009.Proof in Practice: A Compilation of Patient Centered Medical Home Pilot and Demonstration Projects.http://www.pcpcc.net/guide/proof‐practice[accessed May 29 2013].
[37]
Patient‐Centered Primary Care Collaborative.2012.Benefits of Implementing the Primary Care Patient‐Centered Medical Home: A Review of Cost and Quality Results 2012.http://www.pcpcc.net/guide/benefits‐implementing‐primary‐care‐medical‐home[accessed May 29 2013].
[38]
Peikes Deborah "Early Evaluations of the Medical Home: Building on a Promising Start" American Journal of Managed Care (2012)
[40]
Reid Robert J. "Patient‐Centered Medical Home Demonstration: A Prospective, Quasi‐Experimental, Before and After Evaluation" American Journal of Managed Care (2009)
[42]
Robeznieks Andis "Home Inspection" Modern Healthcare (2012)
[43]
[44]
Starfield Barbara "The Medical Home, Access to Care, and Insurance: A Review of Evidence. Supplement 4" Pediatrics (2004) 10.1542/peds.113.s4.1493
[45]
U.S. Department of Health and Human Services (HHS).2012.Fact Sheet: Medicare‐Medicaid Advanced Primary Care Demonstration Initiative(updated April 5 2012).http://www.cms.gov/Medicare/Demonstration‐Projects/DemoProjectsEvalRpts/Downloads/mapcpdemo_Factsheet.pdf[accessed May 29 2013].
Metrics
23
Citations
46
References
Details
- Published
- Jul 09, 2013
- Vol/Issue
- 73(s1)
- License
- View
Authors
Cite This Article
David B. Klein, Miriam J. Laugesen, Nan Liu (2013). The Patient‐Centered Medical Home: A Future Standard for American Health Care?. Public Administration Review, 73(s1). https://doi.org/10.1111/puar.12082
Related
You May Also Like
The Design and Implementation of Cross‐Sector Collaborations: Propositions from the Literature
John M. Bryson, Barbara C. Crosby · 2006
1,607 citations
The New Public Service: Serving Rather than Steering
Robert B. Denhardt, Janet Vinzant Denhardt · 2000
1,009 citations