Patient-Centered Medical Home Features and Expenditures by Medicare Beneficiaries

Authors, Primary Stockbridge,Erica L.;Philpot,Lindsey M.;Pagán,José A.
Title Primary Patient-Centered Medical Home Features and Expenditures by Medicare Beneficiaries
Periodical Full American Journal of Managed Care
Pub Year 2014
Volume 20
issue 5
Start Page 379-388
Abstract OBJECTIVES: To determine the impact of individual features of the patient-centered medical home (PCMH) care model on next-year healthcare expenditures including outpatient, inpatient, emergency department, pharmacy, and total healthcare expenditures among Medicare beneficiaries 65 years and older. STUDY DESIGN: Analysis of retrospective longitudinal survey data. Methods Longitudinal files from the Medical Expenditure Panel Survey were analyzed. Differences in expenditures for individuals whose usual sources of care did or did not have different PCMH features were estimated using recycled predictions from generalized linear regression models. RESULTS: Having little to no difficulty contacting the regular source of care over the telephone during regular business hours was associated with significantly lower total and inpatient expenditures over the next year (differences of $2867 and $3736, respectively). Having a regular source of care with office hours at night or on weekends was associated with significantly lower outpatient, emergency department, and other expenditures (differences of $535, $103, and $328, respectively). Pharmacy expenditures were significantly higher for individuals whose usual source of care inquired about medications and treatments prescribed by other doctors (difference of $362). CONCLUSIONS: This study points out the need to identify how individual PCMH features impact healthcare expenditures across different policy-relevant categories. Practices that have not fully adopted a PCMH model can still make progress in improving quality and controlling costs by adopting even some modest features of the PCMH model.
Publisher Intellisphere, LLC
Place of Publication Not Available
Author/Address Not Available
PubMed Link
Reference Type(s) Journal Article
Topic Tag(s) Cost and Reimbursement;Outcomes
Special Population(s) Medicare Beneficiaries
Case Study No
Commentary/Opinion Piece No
Historical Publication No
Key/Foundational Article No
Literature Review No
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Summary of Article Rating No