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