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Related Experiment Video

Updated: May 10, 2026

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion

Published on: January 20, 2019

Partial and incremental PCMH practice transformation: implications for quality and costs.

Michael L Paustian¹, Jeffrey A Alexander, Darline K El Reda

¹Department of Clinical Epidemiology and Biostatistics, Blue Cross Blue Shield of Michigan, Ann Arbor, MI.

Health Services Research

|July 9, 2013

Summary

Implementing the Patient Centered Medical Home (PCMH) model improves care quality for adults and children. Full PCMH implementation reduces adult medical costs, while incremental improvements boost quality across all age groups.

Keywords:

PCMH cost medical home quality

Related Experiment Videos

Last Updated: May 10, 2026

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion

Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion

Published on: January 20, 2019

Area of Science:

Health Services Research
Primary Care Medicine
Healthcare Quality Improvement

Background:

The Patient Centered Medical Home (PCMH) model aims to improve primary care delivery.
Understanding the impact of PCMH implementation on healthcare costs and quality is crucial for optimizing patient outcomes and resource allocation.

Purpose of the Study:

To examine the associations between partial and incremental implementation of the Patient Centered Medical Home (PCMH) model and measures of cost and quality of care.
To assess how different levels of PCMH adoption affect healthcare expenditures and the quality of services provided.

Main Methods:

Combined validated, self-reported PCMH capabilities data with administrative claims data for 2,432 primary care practices in Michigan.
Measured PCMH capabilities in place and changes implemented over a one-year period.
Used generalized estimating equations to estimate the effects of PCMH measures on total medical costs and quality of care, controlling for confounders.

Main Results:

Full PCMH implementation was associated with higher quality composite scores (3.5%) and preventive care scores (5.1%), and lower medical costs ($26.37 PMPM) for adults.
Full PCMH implementation also showed a significant increase in preventive care scores (12.2%) for pediatric populations, without cost reductions.
Incremental PCMH improvements positively impacted quality of care for both adult and pediatric populations but did not yield cost savings.

Conclusions:

The positive effects of the PCMH model on healthcare quality and cost appear to be dose-dependent, improving with the degree of implementation achieved.
Incremental advancements in PCMH implementation strategies are associated with enhanced quality of care for diverse patient populations.