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Publications
Publications
  • May 2018
  • Article
  • Journal of Health Economics

The Economics of Patient-Centered Care

By: Guy David, Philip Saynisch and Aaron Smith-McLallen
  • Format:Print
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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.

Keywords

Primary Care; Accreditation; Patient-centered Medical Home; Health Care and Treatment; Economics

Citation

David, Guy, Philip Saynisch, and Aaron Smith-McLallen. "The Economics of Patient-Centered Care." Journal of Health Economics 59 (May 2018): 60–77.
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More from the Authors

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    Assessment of Economic Vulnerability to Infectious Disease Crises

    By: Peter A Sands, Anas El Turabi, Philip Saynisch and Victor J Dzau
    • Health Services Research

    Do Patient-centered Medical Homes Reduce Emergency Department Visits?

    By: Guy David, Candace Gunnarsson, Philip Saynisch, Ravi Chawla and Somesh Nigam
    • Health Economics

    Affording to Wait: Medicare Initiation and the Use of Health Care

    By: Guy David, Philip Saynisch, Victoria Acevado-Perez and Mark D. Neuman
More from the Authors
  • Assessment of Economic Vulnerability to Infectious Disease Crises By: Peter A Sands, Anas El Turabi, Philip Saynisch and Victor J Dzau
  • Do Patient-centered Medical Homes Reduce Emergency Department Visits? By: Guy David, Candace Gunnarsson, Philip Saynisch, Ravi Chawla and Somesh Nigam
  • Affording to Wait: Medicare Initiation and the Use of Health Care By: Guy David, Philip Saynisch, Victoria Acevado-Perez and Mark D. Neuman
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