1. Patient-centered medical homes in Louisiana had minimal impact on Medicaid population's use of acute care and costs.
- Author
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Cole ES, Campbell C, Diana ML, Webber L, and Culbertson R
- Subjects
- Adult, Aged, Case-Control Studies, Delivery of Health Care economics, Delivery of Health Care statistics & numerical data, Delivery of Health Care trends, Diagnosis-Related Groups economics, Diagnosis-Related Groups statistics & numerical data, Diagnosis-Related Groups trends, Emergency Service, Hospital trends, Female, Health Expenditures trends, Humans, Louisiana, Male, Medicaid trends, Middle Aged, Outcome Assessment, Health Care, Patient-Centered Care trends, Primary Health Care trends, United States, Utilization Review trends, Chronic Disease economics, Chronic Disease therapy, Cost-Benefit Analysis economics, Emergency Service, Hospital economics, Emergency Service, Hospital statistics & numerical data, Health Care Costs trends, Medicaid economics, Medicaid statistics & numerical data, Patient-Centered Care economics, Patient-Centered Care statistics & numerical data, Primary Health Care economics, Primary Health Care statistics & numerical data
- Abstract
The patient-centered medical home model of primary care has received considerable attention for its potential to improve outcomes and reduce health care costs. Yet little information exists about the model's ability to achieve these goals for Medicaid patients. We sought to evaluate the effect of patient-centered medical home certification of Louisiana primary care clinics on the quality and cost of care over time for a Medicaid population. We used a quasi-experimental pre-post design with a matched control group to assess the effect of medical home certification on outcomes. We found no impact on acute care use and modest support for reduced costs and primary care use among medical homes serving higher proportions of chronically ill patients. These findings provide preliminary results related to the ability of the patient-centered medical home model to improve outcomes for Medicaid beneficiaries. The findings support a case-mix-adjusted payment policy for medical homes going forward., (Project HOPE—The People-to-People Health Foundation, Inc.)
- Published
- 2015
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