Pcmh model leads to reduced cost of care, improved population health phcDocument Transcript
Report: PCMH model leads to reduced cost of care, improved population health
January 15, 2014 | By Katie Sullivan
Published on FierceHealthcare
A patient-centered medical home (PCMH) model resulted in reduced costs of care, unnecessary
emergency room (ER) and hospital visits, and improved population health, according to a
research report by the Patient-Centered Primary Care Collaborative.
Decreases in the cost of care: 61 percent of peer-reviewed studies and 57 percent of
industry reports noted drops in per member, per month costs, return on investment and
total cost of care.
Reductions in the use of unnecessary or avoidable services: 61 percent of peer-reviewed
studies and 57 percent of industry-generated reports showed drops in ER or urgent care
visits, while 31 percent of peer-reviewed studies and 57 percent of industry-generated
reports saw declines in inpatient admissions, with hospital readmissions falling in 13
percent of peer-reviewed studies and 29 percent of industry-generated ones.
Improvements in population-health indicators and preventive services: 31 percent of
peer-reviewed studies and 29 percent of industry-generated studies saw better controlled
HbA1c, blood pressure and LDL levels, as well as an increase in screening and
Improvements in access to care: 31 percent of peer-reviewed studies and 29 percent of
industry-generated studies noted better overall access to primary care doctors, as well as
non-face-to-face visits.Improvements in patient satisfaction: 23 percent of peer-reviewed
and 14 percent of industry-generated studies saw a rise in overall satisfaction, the number
of patients who recommended the practice to family and friends, and increased
satisfaction with provider communications.
The report also found PCMHs play a role in strengthening the larger healthcare systems,
especially accountable care organizations. "Many of the nation's highest-performing ACOs
embrace their strong PCMH component, and for this reason, PCMHs are well-positioned to lead
and drive change across ACOs," the report states.
The PCMH model is also being incorporated into significant payment reforms, including
Congressional reforms to the Medicare sustainable growth rate, which would aid in moving the
U.S. healthcare system away from fee-for-service toward alternative payment methods, including
ones build around the PCMH model, according to the report.
A study from the University of California Los Angeles and the University of Southern California
setting, FierceHealthcare previously reported. The Galaxy Health program, which debuted at
Los Angeles County+USC Medical Center (LAC+USC) in 2012, proved that intuitive and
inexpensive interventions improve patient care and physician and staff morale.