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Updated: Jun 2, 2026
11:21
Methodology for Establishing a Community-Wide Life Laboratory for Capturing Unobtrusive and Continuous Remote Activity and Health Data
Published on: July 27, 2018
Summary
A pilot program by Blue Cross and Blue Shield of Texas (BCBSTX) tested the patient-centered medical home model. It aimed to improve healthcare quality and control costs through care coordination and performance feedback.
Area of Science:
- Health Services Research
- Healthcare Management
- Quality Improvement
Background:
- Patient-centered medical homes (PCMH) are a key strategy for healthcare reform.
- Measuring the impact of PCMH models on quality and cost is crucial for evidence-based practice.
Purpose of the Study:
- To evaluate the effectiveness of a PCMH pilot program in improving healthcare quality.
- To assess the impact of the PCMH model on controlling healthcare costs.
Main Methods:
- Implementation of a pilot program by Blue Cross and Blue Shield of Texas (BCBSTX).
- Coupling "aggressive care coordination" by physicians with extensive quality and patient satisfaction feedback from BCBSTX.
- Incentivizing practices with a care management fee and shared savings based on cost and quality benchmarks.
Main Results:
- The program aimed to measure improvements in quality and cost control.
- Physician participation involved enhanced care coordination.
- Practices received performance feedback on quality and patient satisfaction.
Conclusions:
- The PCMH model shows potential for improving healthcare quality.
- The program's design suggests a pathway to controlling healthcare expenditures.
- Financial incentives and performance feedback are key components for PCMH success.
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