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Journal of Ambulatory Care Management:
doi: 10.1097/JAC.0b013e3181ff6fd2
Issue on the Medical Home: Original Article

Relationship of Clinic Medical Home Scores to Health Care Costs

Flottemesch, Thomas J. PhD; Fontaine, Patricia MD, MS; Asche, Stephen E. MA; Solberg, Leif I. MD

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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.

© 2011 Lippincott Williams & Wilkins, Inc.

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