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Medical Homes

News Release
Medical Home Intervention with Shared Savings Shows Quality and Utilization Improvements
A medical home intervention that paid bonuses to physician practices based on financial savings showed significant improvements in quality and use of some medical services relative to comparison practices.
Jun 1, 2015
Journal Article
The Most Used and Most Helpful Facilitators for Patient-Centered Medical Home Implementation
Like other transformative healthcare initiatives, patient-centered medical home (PCMH) implementation requires substantial investments of time and resources.
May 14, 2015
Report
Evaluation of CMS' FQHC APCP Demonstration: Final First Annual Report
RAND was asked to evaluate a demonstration of federally qualified health centers becoming advanced primary care practices for Medicare beneficiaries and to assess the effects on care provided. This is the first report in a series of three.
Apr 9, 2015
Journal Article
Categories of Practice Transformation in a Statewide Medical Home Pilot and Their Association with Medical Home Recognition
Healthcare purchasers have created financial incentives for primary care practices to achieve medical home recognition.
Feb 25, 2015
Research Brief
Caring for Brain and Body: Integrating Care for Adults with Serious Mental Illness in New York State
This report examines several New York state initiatives to promote integrated health care for adults with serious mental illness.
Sep 18, 2014
Report
An Examination of New York State's Integrated Primary and Mental Health Care Services for Adults with Serious Mental Illness
Several New York state initiatives promote integrated care for adults with serious mental illness. This report examines Primary and Behavioral Health Care Integration grants, Medicaid Incentives, and Medicaid Health Homes.
Sep 18, 2014
Journal Article
Practice Environments and Job Satisfaction in Patient-Centered Medical Homes
We undertook a study to evaluate the effects of medical home transformation on job satisfaction in the primary care setting.
Jul 1, 2014
Journal Article
Patient Aligned Care Teams (PACT): VA's Journey to Implement Patient-Centered Medical Homes
In 2010, the US Department of Veterans Affairs (VA) launched national implementation of patient-centered medical homes (PCMH) through the Patient Aligned Care Teams (PACT) initiative.
Jun 30, 2014
Commentary
How to Avert a Doctor Shortage
Within the next decade, the United States may face a shortage of 130,000 physicians due to a growing, aging population and the anticipated demands of those newly insured under the ACA. This shortage can be alleviated by early creative interventions.
Apr 2, 2014
Blog
Medical Homes Show Limited Quality Improvements, No Cost Reductions
A study suggests that medical home interventions may require further refinements before their full potential can be realized. Evaluations like this can help guide the improvement of the medical home model.
Feb 27, 2014
News Release
Limited Quality Improvement and No Cost Containment Found in a Medical Home Demonstration
A three-year pilot of a “medical home” model of primary care yielded few improvements in the quality of care and no reductions in hospitalizations, emergency department visits, or total costs of care.
Feb 25, 2014
Journal Article
Limited Quality Improvement and No Cost Containment Found in a Medical Home Demonstration
A three-year pilot of a “medical home” model of primary care yielded few improvements in the quality of care and no reductions in hospitalizations, emergency department visits, or total costs of care.
Feb 1, 2014
Journal Article
A Patient-Centered Primary Care Practice Approach Using Evidence-Based Quality Improvement: Rationale, Methods, and Early Assessment of Implementation
Healthcare systems and their primary care practices are redesigning to achieve goals identified in Patient-Centered Medical Home (PCMH) models such as Veterans Affairs (VA)'s Patient Aligned Care Teams (PACT).
Jan 1, 2014
Journal Article
Huddle Up! The Adoption and Use of Structured Team Communication for VA Medical Home Implementation
In order to improve the impact of huddles on patient care, practice leaders should clearly communicate the goals, requirements, and benefits of huddling and provide adequate time and resources to ensure that frontline teams use huddle time to improve patient care.
Jan 1, 2014
Research Brief
New Approaches for Delivering Primary Care Could Reduce Predicted Physician Shortage
Growth of patient-centered medical homes and nurse-managed health centers could halve projected U.S. physician shortages by 2025—without training a single additional physician.
Nov 27, 2013
News Release
New Models of Primary Care Could Ease U.S. Physician Shortage
Much of the shortage of primary care physicians expected over the next decade could be eliminated if the nation increases use of new models of medical care that expand the role of nurse practitioners and physician assistants.
Nov 4, 2013
Journal Article
New Models of Primary Care Could Ease U.S. Physician Shortage
Much of the shortage of primary care physicians expected over the next decade could be eliminated if the nation increases use of new models of medical care that expand the role of nurse practitioners and physician assistants.
Nov 1, 2013
Journal Article
Effect of a Multipayer Patient-Centered Medical Home on Health Care Utilization and Quality: The Rhode Island Chronic Care Sustainability Initiative Pilot Program
The patient-centered medical home is advocated to reduce health care costs and improve the quality of care.
Nov 1, 2013
Testimony
Improving Care for Medicare Beneficiaries with Physician Payment Reform
Physician payment policy is shifting from one that incentivizes the delivery of more services without regard to quality or outcomes to one that incentivizes the delivery of high quality, resource conscious health care. Thoughtful incentive design can ease the transition process for both physicians and the Medicare program.
Jun 5, 2013
Testimony
Efforts to Reform Physician Payment by Tying Payment to Performance
Public and private sector purchasers are actively working to design value-based payment programs to achieve the goals of improved quality and more efficient use of health care resources. How these programs are designed is a complex undertaking and one that will determine the likelihood of their success.
Feb 14, 2013

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RAND Topic:
Medical Homes