This annual report from the Patient Centered Primary Care Collaborative highlights recently published clinical, quality, and financial outcomes of patient-centered medical home (PCMH) initiatives from across the United States. Profiling a showcase of PCMH initiatives, this report focuses on studies released between August 2012 and December 2013 and identifies where they are happening, who is leading them, and highlights the outcomes they are achieving. In addition to the results from these 21 most recent studies, the report includes a summary of PCMH initiatives taking place throughout the US since 2009. A summary of key points from this year’s report include:
- PCMH studies continue to demonstrate impressive improvements across a broad range of categories including: cost, utilization, population health, prevention, access to care, and patient satisfaction, while a gap still exists in reporting impact on clinician satisfaction.
- The PCMH continues to play a role in strengthening the larger health care system, specifically Accountable Care Organizations and the emerging medical neighborhood model.
- Significant payment reforms are incorporating the PCMH and its key attributes.
Of particular interest is the Appendix A: Summary of PCMH evidence by category and organized by state/location from 2009-2013. This section examines whether the PCMH initiative demonstrated one or more of the following:
- Cost reductions
- Reduction in ED/hospital
- Improved health
- Improved access to care
- Increased preventative services
- Improved patient or clinician satisfaction