Abstract：
:The Patient-Centered Medical Home (PCMH) is a widely-implemented model for improving primary care, emphasizing care coordination, information technology, and process improvements. However, its treatment as an undifferentiated intervention in policy evaluation obscures meaningful variation in implementation. This heterogeneity leads to contracting inefficiencies between insurers and practices and may account for mixed evidence on its success. Using a novel dataset we group practices into meaningful implementation clusters and then link these clusters with detailed patient claims data. We find implementation choice affects performance, suggesting that generally-unobserved features of primary care reorganization influence patient outcomes. Reporting these features may be valuable to insurers and their members.
journal_name
J Health Econjournal_title
Journal of health economicsauthors
David G,Saynisch PA,Smith-McLallen Adoi
10.1016/j.jhealeco.2018.02.012subject
Has Abstractpub_date
2018-05-01 00:00:00pages
60-77eissn
0167-6296issn
1879-1646pii
S0167-6296(17)30786-5journal_volume
59pub_type
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