Medical-home recognition higher in demonstration sites

Medical-home recognition higher in demonstration sites

(HealthDay)—Demonstration sites, which are provided with care management fees and technical assistance to help them achieve the highest medical-home recognition, do have higher rates of medical-home recognition, according to a study published online June 21 in the New England Journal of Medicine.

Justin W. Timbie, Ph.D., from RAND in Arlington, Va., and colleagues examined the achievement of medical-home recognition and measured utilization of services, quality of care, patients' experiences, and Medicare expenditures in demonstration versus comparison sites.

The researchers found that 70 percent of demonstration sites and 11 percent of comparison sites were awarded level 3 medical-home recognition. In both groups, the number of visits to federally-qualified health centers decreased; smaller reductions were seen among demonstration sites, leading to a relative increase of 83 visits per 1,000 beneficiaries per year at demonstration sites (P < 0.001). With respect to annual eye examinations and nephropathy tests, similar trends explained the higher performance of demonstration sites (both P < 0.001); no significant differences were seen for three other process measures. Relative to comparison sites, demonstration sites had larger increases in emergency department visits (P < 0.001), inpatient admissions (P = 0.02), and Medicare Part B expenditures (P = 0.02).

"Demonstration sites had higher rates of medical-home and smaller decreases in the number of patients' visits to federally-qualified health centers than did sites," the authors write.


Explore further

Home-based primary care model can produce medicare savings

More information: Abstract
Full Text
Journal information: New England Journal of Medicine

Copyright © 2017 HealthDay. All rights reserved.

Citation: Medical-home recognition higher in demonstration sites (2017, June 22) retrieved 13 November 2019 from https://medicalxpress.com/news/2017-06-medical-home-recognition-higher-sites.html
This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.
0 shares

Feedback to editors

User comments