Association Between Participation in a Multipayer Medical Home Intervention and Changes in Quality, Utilization, and Costs of Care

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Abstract
Professional associations, payers, policy makers, and other stakeholders have advocated the patient-centered medical home, a team-based model of primary care practice intended to improve the quality, efficiency, and patient experience of care.1,2 In general, medical home initiatives have encouraged primary care practices to invest in patient registries, enhanced access options, and other structural capabilities in exchange for enhanced payments—often operationalized as per-patient per-month fees for comprehensive care services.3,4 Dozens of privately and publicly financed medical home pilots are under way, and most use recognition by the National Committee for Quality Assurance (NCQA) to assess practice structural capabilities.4,5