Patient-Centered Medical Home Initiatives Expanded In 2009–13: Providers, Patients, And Payment Incentives Increased
- 1 October 2014
- journal article
- Published by Health Affairs (Project Hope) in Health Affairs
- Vol. 33 (10), 1823-1831
- https://doi.org/10.1377/hlthaff.2014.0351
Abstract
Patient-centered medical home initiatives are central to many efforts to reform the US health care delivery system. To better understand the extent and nature of these initiatives, in 2013 we performed a nationwide cross-sectional survey of initiatives that included payment reform incentives in their models, and we compared the results to those of a similar survey we conducted in 2009. We found that the number of initiatives featuring payment reform incentives had increased from 26 in 2009 to 114 in 2013. The number of patients covered by these initiatives had increased from nearly five million to almost twenty-one million. We also found that the proportion of time-limited initiatives—those with a planned end date—was 20 percent in 2013, a decrease from 77 percent in 2009. Finally, we found that the dominant payment model for patient-centered medical homes remained fee-for-service payments augmented by per member per month payments and pay-for-performance bonuses. However, those payments and bonuses were higher in 2013 than they were in 2009, and the use of shared-savings models was greater. The patient-centered medical home model is likely to continue both to become more common and to play an important role in delivery system reform.Keywords
This publication has 26 references indexed in Scilit:
- Seven Million Americans Live In Areas Where Demand For Primary Care May Exceed Supply By More Than 10 PercentHealth Affairs, 2013
- Projecting US Primary Care Physician Workforce Needs: 2010-2025Annals of Family Medicine, 2012
- Burnout and Satisfaction With Work-Life Balance Among US Physicians Relative to the General US PopulationArchives of Internal Medicine, 2012
- Early Results Show WellPoint’s Patient-Centered Medical Home Pilots Have Met Some Goals For Costs, Utilization, And QualityHealth Affairs, 2012
- Colorado’s Patient-Centered Medical Home Pilot Met Numerous Obstacles, Yet Saw Results Such As Reduced Hospital AdmissionsHealth Affairs, 2012
- New Pathways for Primary Care: An Update on Primary Care Programs From the Innovation Center at CMSAnnals of Family Medicine, 2012
- A Nationwide Survey of Patient Centered Medical Home Demonstration ProjectsJournal of General Internal Medicine, 2010
- The Group Health Medical Home At Year Two: Cost Savings, Higher Patient Satisfaction, And Less Burnout For ProvidersHealth Affairs, 2010
- The Multi-Stakeholder Movement For Primary Care Renewal And ReformHealth Affairs, 2010
- The Political Economy Of U.S. Primary CareHealth Affairs, 2009