Relationship of clinic medical home scores to health care costs

Journal Name: 
J Ambul Care Manage
Authors: 
Flottemesch,T.J.
Fontaine,P.
Asche,S.E.
Solberg,L.I.
Abstract: 
Multilevel, multivariate models examined the relationship between Primary Care Medical Home (PCMH) practice systems as measured by the Physician Practice Connections(R)-Readiness Survey (PPC(R)-RS) and costs (total, outpatient, and inpatient) using 2008 patient data from 21 primary care clinics. Overall, PPC-RS scores were associated with insignificant changes in total (-$75/person, 1.1%) outpatient (-$67/person, 1.2%), and inpatient ($68/person, 0.5%) costs. However, improved PPC-RS scores were associated with significant decreases in total ($2378, 4.4%) and outpatient ($1282/person, 3.5%) costs among patients with 11 or more prescriptions suggesting higher functioning PCMHs may lead to reduced costs among the most complex and costly patients
1
2011
Volume: 
34
Pages: 
78-89
Keywords: 
Adolescent, Adult, Aged, cost, electronic, Female, Health, health care, Health Care Costs, Health Care Surveys, Health Expenditures, Humans, Lead, Male, medical, Middle Aged, Minnesota, patient, Patient Satisfaction, Patient-Centered Care, Patients, physician practice, Prescriptions, primary care, Quality of Health Care, Research, Research Support, Standards, support, survey, system, Young Adult