Saynisch PA, David G, Ukert B, Agiro A, Scholle SH, Oberlander T. Model Homes: Evaluating Approaches to Patient-centered Medical Home Implementation. Med Care. 2021;59(3):206-212. doi:10.1097/MLR.0000000000001497.
Summary of Findings:
The study focuses on identifying the impact of different approaches to patient-centered medical home (PCMH) adoption on health care utilization in a long-term, geographically diverse sample of patients. PCMH adoption was associated with a >8% reduction in total expenditures. The study finds significant reductions in emergency department utilization and outpatient care, and both lab and imaging services. Overall, the PCMH model has significant impact on patterns of health care utilization, especially when heterogeneity in implementation is accounted for in program evaluation.