Association Between Participation in a Multipayer Medical Home Intervention and Changes in Quality, Utilization, and Costs of Care

Abstract

Professional associations, payers, policy makers, and other stakeholders have advocated the patient-centered medical home, a team-based model of primary care practice intended to improve the quality, efficiency, and patient experience of care.^1,2 In general, medical home initiatives have encouraged primary care practices to invest in patient registries, enhanced access options, and other structural capabilities in exchange for enhanced payments—often operationalized as per-patient per-month fees for comprehensive care services.^3,4 Dozens of privately and publicly financed medical home pilots are under way, and most use recognition by the National Committee for Quality Assurance (NCQA) to assess practice structural capabilities.^4,5