The impact of a regional patient-centered medical home initiative on cost of care among commercially insured population in the US

The impact of a regional patient-centered medical home initiative on cost of care among commercially insured population in the US

The impact of a patient-centered medical home (PCMH) in reducing total cost of care remains a subject of debate, particularly among the non-elderly adult population. This study examines a 6-year experience of a large integrated regional health care delivery system in the US implementing PCMH among i...

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Bibliographic Details
Published in:Risk management and healthcare policy Vol. 9; no. Issue 1; pp. 67 - 74
Main Authors: Maeng, Daniel Dukjae, Sciandra, Joann P, Tomcavage, Janet F
Format: Journal Article
Language:English
Published: England Dove Medical Press Limited 01-01-2016
Taylor & Francis Ltd
Dove Medical Press
Subjects:
Cardiovascular disease
Chronic illnesses
commercially insured
cost of care
Elderly
Expenditures
Health care policy
Health insurance
Hospitals
Medical economics
Medicare
non-elderly adults
Original Research
Patient satisfaction
Patient-centered medical home
Preventive medicine
Primary care
Quality
United States > US
non-elderly adults
patient-centered medical home
cost of care
commercially insured
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Summary:The impact of a patient-centered medical home (PCMH) in reducing total cost of care remains a subject of debate, particularly among the non-elderly adult population. This study examines a 6-year experience of a large integrated regional health care delivery system in the US implementing PCMH among its commercially insured population. A regional health plan's claims data from 2008 through 2013 among its commercially insured members were obtained and analyzed. Over the 6-year period, the PCMH implementation beyond the first 6 months of exposure was associated with a lower total cost of care of ∼9% (P<0.05). The largest reduction was observed in outpatient costs (12%; P<0.05). This study suggests that PCMH implementation among the non-elderly adult population can potentially lead to cost savings. Future studies are necessary to identify the drivers of the cost savings and examine if similar results can be replicated elsewhere by other health care delivery systems.
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ISSN:1179-1594
1179-1594
DOI:10.2147/RMHP.S102826