AHRQ-funded researchers exploring the costs of becoming a patient-centered medical home (PCMH) estimated that a Texas medical group with 57 primary care practices paid about $2.5 million to secure the designation. PCMHs have shown promise for improving care and reducing costs. The National Committee for Quality Assurance (NCQA) designates PCMHs as those that meet criteria in areas such as team-based care, population management, care coordination and performance measurement. Researchers used surveys and interviews to estimate HealthTexas' NCQA designation costs, which averaged approximately $43,000 per practice. While acknowledging that cost estimates could not be generalized to other medical groups, researchers concluded the benefits of becoming a PCMH should be weighed against mixed evidence regarding impacts on quality and costs of care. Access the abstract of the article, published in the Journal of the American Board of Family Medicine. For more information, access Estimating the Costs of Primary Care Transformation: A Practical Guide and Synthesis Report, an AHRQ report based on the experiences of 15 grantees that sought to understand how much it costs for primary care practices to become PCMHs.
J Am Board Fam Med. 2017 Jul-Aug;30(4):460-471. doi: 10.3122/jabfm.2017.04.170039.
Costs of Transforming Established Primary Care Practices to Patient-Centered Medical Homes (PCMHs).
Fleming NS1, da Graca B2, Ogola GO2, Culler SD2, Austin J2, McConnell P2, McCorkle R2, Aponte P2, Massey M2, Fullerton C2.
© Copyright 2017 by the American Board of Family Medicine.
Health Expenditures; Health Policy; Incentive Reimbursement; Medical Home; Patient-Centered Care; Practice Management; Primary Health Care; Surveys and Questionnaires
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