Importance: Published evaluations of medical home interventions have found limited effects on quality and utilization of care.
Objective: To measure associations between participation in the Northeastern Pennsylvania Chronic Care Initiative and changes in quality and utilization of care.
Medical practices in Connecticut that participate in the Cigna Collaborative Care initiative are having success improving quality and lowering medical costs, which is what the program was designed to do. Cigna Collaborative Care is the company’s approach to accomplishing the same population health goal
2014 was an incredible year filled with growth, transformation and measurable progress that we are eager to share with our many partners, supporters and greater community.
What GAO Found Health care providers and suppliers voluntarily form accountable care organizations (ACO) to provide coordinated care to patients with the goal of reducing spending while improving quality. Within the Centers for Medicare & Medicaid Services (CMS), the Center for Medicare & Medicaid Innovation (CMMI) began testing the Pioneer ACO Model in 2012. Under this model, ACOs can earn additional Medicare payments if they generate savings, which are shared with CMS, but must pay CMS a penalty if their spending is higher than expected.
Early evidence suggests that the patient-centered medical home has the potential to improve patient outcomes while reducing the cost of care. However, it is unclear how this care model achieves such desirable results, particularly its impact on cost. We estimated cost savings associated with Geisinger Health System’s patient-centered medical home clinics by examining longitudinal clinic-level claims data from elderly Medicare patients attending the clinics over a ninety-month period (2006 through the first half of 2013).
As policy makers and others seek to reduce health care cost growth while improving health care quality, one approach gaining momentum is fee-for-value reimbursement. This payment strategy maintains the traditional fee-for-service arrangement but includes quality and spending incentives. We examined Blue Cross Blue Shield of Michigan’s Physician Group Incentive Program, which uses a fee-for-value approach focused on primary care physicians. We analyzed the program’s impact on quality and spending from 2008 to 2011 for over three million beneficiaries in over 11,000 physician practices.
Enhanced Personal Health Care is Anthem's marquee value-based payment initiative and part of a national collection of programs called Blue Distinction Total Care. Participating Anthem providers are compensated with both up-front care coordination payments and the opportunity to earn shared savings in recognition of high-quality, efficient care. Since its beginnings in 2012, participation has grown to 47,000 Anthem network providers who care for more than 3.8 million Anthem members – a number projected to reach 4.4 million by the end of 2015.
Purpose The purpose of this study is to measure the implementation and effects of a multisite coordinated care approach that delivered diabetes self-management education (DSME) and diabetes self-management support (DSMS) for disadvantaged patients within 4 patient-centered medical homes (PCMH).
PURPOSE Cardiovascular disease is the leading cause of mortality and morbidity in the United States. Primary care teams can be best suited to improve quality of care and lower costs for patients with cardiovascular disease. This study evaluates the associations between primary care team communication, interaction, and coordination (ie, social networks); quality of care; and costs for patients with cardiovascular disease.
A review of two years' worth of healthcare claims data on thousands of patients reveals, contrary to the prevailing view, that unlimited primary care drives down overall costs while improving patient outcomes and experience.
