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J Ambul Care Manage. 2011 Jan-Mar;34(1):78-89. doi: 10.1097/JAC.0b013e3181ff6fd2.

Relationship of clinic medical home scores to health care costs.

Author information

  • 1HealthPartners Research Foundation, Minneapolis, Minnesota 55440-1524, USA. Thomas.J.Flottemesch@healthpartners.com

Abstract

Multilevel, multivariate models examined the relationship between Primary Care Medical Home (PCMH) practice systems as measured by the Physician Practice Connections®-Readiness Survey™ (PPC®-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.

PMID:
21160355
[PubMed - indexed for MEDLINE]
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