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Journal of General Internal Medicine
Published in: Journal of General Internal Medicine 7/2016

01-07-2016 | Editorial

Understanding the Costs of Patient-Centered Medical Homes

Author: Kenneth W. Kizer, MD, MPH

Published in: Journal of General Internal Medicine | Issue 7/2016

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Excerpt

The United States spends far more on health care than other developed countries, but receives less health value for its expenditures.1,2 Since this is due in significant part to our market-based fee-for-service method of paying for health care services, moving to more value-based methods of payment is an integral part of current health care reform strategies.3‐6 Multiple models of value-based payment are currently being tested, including various forms of pay for performance, episode of care bundled payment, accountable care organizations, and patient centered medical homes. …
Literature
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Institute of Medicine. U.S. Health in International Perspective: Shorter Lives, Poorer Health. Washington, DC: National Academies Press; 2013.
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Squires D, Anderson C. U.S. Health Care from a Global Perspective: Spending, Use of Services, Prices, and Health in 13 Countries. New York, NY: The Commonwealth Fund; 2015.
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Berwick DM, Nolan TM, Whittington J. The triple aim: care, health and cost. Health Aff. 2008;27(3):759–69.CrossRef
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Whittington JW, Nolan K, Lewis N, Torres T. Pursuing the triple aim: the first 7 years. The Milbank Quart. 2015;93(2):263–300.CrossRef
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Burwell SM. Setting value-based payment goals—HHS efforts to improve U.S. health care. N Engl J Med. 2015;372(10):897–9.CrossRefPubMed
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Cassidy A. Patient-centered medical home. Health Aff. 2010;29(9):1–6.
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Berenson RA, Devers KJ, Burton RA. Will the Patient-Centered Medical Home Transform the Delivery of Health Care? The Urban Institute: Washington, DC; 2011.
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Jackson GL, Powers BJ, Chatterjee R, et al. The patient-centered medical home. A systematic review. Ann Intern Med. 2013;148(3):169–78.CrossRef
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Kern LM, Edwards A, Kaushal R. The patient-centered medical home and association with health care quality and utilization: a 5-year cohort study. Ann Intern Med. 2016. doi:10.​7326/​M14-2633. Published online February 16, 2016.PubMed
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Nielsen M, Buelt L, Patel K, Nichols LM. The Patient-Centered Medical Home’s Impact on Cost and Quality. Annual Review of Evidence 2014–2015. Washington, DC: Patient-Centered Primary Care Collaborative; 2016. Available at https://​www.​pcpcc.​org.
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Metadata
Title
Understanding the Costs of Patient-Centered Medical Homes
Author
Kenneth W. Kizer, MD, MPH
Publication date
01-07-2016
Publisher
Springer US
Published in
Journal of General Internal Medicine / Issue 7/2016
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-016-3682-6

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