Friedberg MW, Rosenthal MB, Werner RM, Volpp KG, Schneider EC. Effects of a medical home and shared savings intervention on quality and utilization of care. JAMA internal medicine. 2015 Aug 1;175(8):1362-8.
To measure associations between participation in the Northeastern Pennsylvania Chronic Care Initiative and changes in quality and utilization of care. During a 3-year period, this medical home intervention, which included shared savings for participating practices, was associated with relative improvements in quality, increased primary care utilization, and lower use of emergency department, hospital, and specialty care. 3 years post‐certification, PMCH practices had fewer all‐cause ED visits, fewer all‐cause hospitalizations, fewer ACS ED visits, fewer ambulatory visits to specialists, and more ambulatory primary care visits.