Industry Reports

Below is a growing list of PCMH program evaluation and outcomes data reported by commercial insurers, think-tanks, and independent evaluators. In addition to the outcomes captured on the map, this list of industry reported studies provides a more comprehensive look at PCMH data from the field (e.g. practice-level data, large scale evaluations not tied to an individual program). 

Evidence & OutcomesPeer Reviewed Studies
Titlesort descending Source Date
New Study Shows Patient Centered Medical Homes Improve Health, Lower Costs Blue Cross Blue Shield of Rhode Island November 2015
OC’s Monarch HealthCare ACO Model Gets High Marks for First Year Physicians News Network January 2014
One successful ACO's secret to success Managed Healthcare Executive February 2016
Oregon's Health System Transformation Oregon Health Authority November 2013
Oregon's Health System Transformation 2013 Performance Report Oregon Health Authority June 2014
Partners HealthCare slows cost growth, improves quality Partners HealthCare July 2013
Patient Centered Medical Home: Community Medical Providers’ Success California Academy of Family Physicians February 2014
Patient Health Improving from Collaboration between Aetna and WESTMED Aetna Press Release June 2014
Patient-centered care continues to deliver on promise of better quality care at a lower cost Horizon Blue Cross Blue Shield August 2015
Patient-Centered Medical Home Program Shows Promising Quality Trends and Continued Savings on Expected Costs CareFirst Blue Cross Blue Shield July 2014
Patient-Centered Medical Home Program Trims Expected Health Care Costs by $98 million in Second Year CareFirst Blue Cross Blue Shield June 2013
Payment Matters: The ROI for high-intensity primary care payment Robert Wood Johnson Foundation February 2013
Payment Matters: The ROI for Patient-Centered Medical Home Payment The Robert Wood Johnson Foundation February 2013
Primary Care and COVID-19: It’s Complicated—Leveraging Primary Care, Public Health, and Social Assets October 2021
Primary care makes strides in improving quality and costs CMS Blog October 2015
Primary Care Physician-Led ACOs, in Partnership with Universal American Subsidiary, Generated $57 Million in Savings for Medicare Shared Savings Program Universal American September 2014
Primary Care Spending: High Stakes, Low Investment December 2020
Progress Report: Missouri CMHC Healthcare Homes Department of Mental Health and MO HealthNet November 2013
Quality Remains Strong as Cost Increases Slow Dramatically for Members in Patient-Centered Medical Home Program CareFirst July 2015
Results from the First Two Years of the Pioneer Accountable Care Organization Model Government Accountability Office April 2015
Risk-adjusted base payments can support the move to value HFM Magazine January 2015
Seizing the Opportunity: Early Medicaid Health Home Lessons Center for Health Care Strategies March 2014
SoonerCare Choice Program Independent Evaluation Oklahoma Health Care Authority November 2013
SoonerCare Choice Program Independent Evaluation Oklahoma Health Care Authority September 2014
State Auditor Report: Community Care of North Carolina Department of Health and Human Services, Division of Medical Assistance August 2015
The Impact of Primary Care Practice Transformation on Cost, Quality, and Utilization Patient-Centered Primary Care Collaborative July 2017
The Jackson Clinic Shows Improved Quality, Lower Costs in Cigna's Collaborative Accountable Care Program Cigna August 2013
The Patient-Centered Medical Home Initiative in New York State Medicaid New York State Department of Health April 2013
The Patient-Centered Medical Home's Impact on Cost and Quality: Annual Review of Evidence, 2013-2014 Patient-Centered Primary Care Collaborative January 2015
The Patient-Centered Medical Home's Impact on Cost and Quality: Annual Review of Evidence, 2014-2015 Patient-Centered Primary Care Collaborative February 2016
Two Blues Plans Find Success With Medical Homes, Look to Expansion AIS Report Blue Cross Blue Shield plans December 2011
United States Air Force Testimony Before the House Appropriations Committee, Subcommittee on Defense United States Air Force May 2011
V-Bid V-BID in Action: A Profile of Connecticut’s Health Enhancement Program The University of Michigan Center for Value-Based Insurance Design January 2013
Value-Based Programs: Blue Plans Improving Healthcare Quality and Affordability through Innovative Partnerships with Clinicians Blue Cross Blue Shield Association February 2014
Vermont Blueprint for Health 2012 Annual Report Department of Vermont Health Access February 2013
Vermont Blueprint for Health 2013 Annual Report Vermont Department of Health Access January 2014
Vermont Blueprint for Health 2014 Annual Report Department of Vermont Health Access January 2015
Wellmark reports improved quality and cost savings from its Accountable Care Organizations arrangements Wellmark Blue Cross Blue Shield August 2014
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