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). 

Titlesort ascending Source Date
Wellmark reports improved quality and cost savings from its Accountable Care Organizations arrangements Wellmark Blue Cross Blue Shield August 2014
Volume Impact: How will PCMHs Affect Downstream Utilization and Referrals? The Advisory Board Company February 2011
Vermont Blueprint for Health 2014 Annual Report Department of Vermont Health Access January 2015
Vermont Blueprint for Health 2013 Annual Report Vermont Department of Health Access January 2014
Vermont Blueprint for Health 2012 Annual Report Department of Vermont Health Access February 2013
Value-Based Programs: Blue Plans Improving Healthcare Quality and Affordability through Innovative Partnerships with Clinicians Blue Cross Blue Shield Association February 2014
V-BID in Action: A Profile of Connecticut’s Health Enhancement Program The University of Michigan Center for Value-Based Insurance Design January 2013
United States Air Force Testimony Before the House Appropriations Committee, Subcommittee on Defense United States Air Force May 2011
Two Blues Plans Find Success With Medical Homes, Look to Expansion AIS Report Blue Cross Blue Shield plans December 2011
The Patient-Centered Medical Home's Impact on Cost and Quality: Annual Review of Evidence, 2014-2015 Patient-Centered Primary Care Collaborative February 2016
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 PAFP Whitepaper Pennsylvania Academy of Family Physicians June 2012
The Patient-Centered Medical Home Initiative in New York State Medicaid New York State Department of Health April 2013
The Medical Home's Impact on Cost & Quality January 2014
The Journey Towards the Patient-Centered Medical Home Reach Healthcare Foundation March 2014
The Jackson Clinic Shows Improved Quality, Lower Costs in Cigna's Collaborative Accountable Care Program Cigna August 2013
The Impact of Primary Care Practice Transformation on Cost, Quality, and Utilization Patient-Centered Primary Care Collaborative July 2017
Summary of Patient-Centered Medical Home Cost and Quality Results, 2010 – 2013 Patient-Centered Primary Care Collaborative July 2013
State Auditor Report: Community Care of North Carolina Department of Health and Human Services, Division of Medical Assistance August 2015
SoonerCare Choice Program Independent Evaluation Oklahoma Health Care Authority September 2014
SoonerCare Choice Program Independent Evaluation Oklahoma Health Care Authority November 2013
Seizing the Opportunity: Early Medicaid Health Home Lessons Center for Health Care Strategies March 2014
Risk-adjusted base payments can support the move to value HFM Magazine January 2015
Results from the First Two Years of the Pioneer Accountable Care Organization Model Government Accountability Office April 2015
Quality Remains Strong as Cost Increases Slow Dramatically for Members in Patient-Centered Medical Home Program CareFirst July 2015
Progress Report: Missouri CMHC Healthcare Homes Department of Mental Health and MO HealthNet November 2013
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 makes strides in improving quality and costs CMS Blog October 2015
Peer Involvement in Integrated Physical and Behavioral Health Services: Promoting"Wellness" through "Recovery Oriented" Care July 2013
Payment Matters: The ROI for Patient-Centered Medical Home Payment The Robert Wood Johnson Foundation February 2013
Payment Matters: The ROI for high-intensity primary care payment Robert Wood Johnson Foundation February 2013
Patient-Centered Medical Homes: Do They Work? Alliance for Health Reform May 2013
Patient-Centered Medical Homes Improve Access and Quality of Care Amerigroup August 2011
PATIENT-CENTERED MEDICAL HOME UNIVERSITY Georgia Academy of Family Physicians July 2014
Patient-Centered Medical Home Transformation with Payment Reform: Patient Experience Outcomes The Commonwealth Fund February 2014
Patient-Centered Medical Home Program Trims Expected Health Care Costs by $98 million in Second Year CareFirst Blue Cross Blue Shield June 2013
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 Homes: Overview, Experience to Date, Success Factors United Healthcare Presentation September 2013
Patient-centered care continues to deliver on promise of better quality care at a lower cost Horizon Blue Cross Blue Shield August 2015
Patient Health Improving from Collaboration between Aetna and WESTMED Aetna Press Release June 2014
Patient Centered Medical Home: Community Medical Providers’ Success California Academy of Family Physicians February 2014
Partners HealthCare slows cost growth, improves quality Partners HealthCare July 2013
Oregon's Health System Transformation 2013 Performance Report Oregon Health Authority June 2014
Oregon's Health System Transformation Oregon Health Authority November 2013
Oregon's Health System Transformation Oregon Health Authority June 2015
One successful ACO's secret to success Managed Healthcare Executive February 2016
OC’s Monarch HealthCare ACO Model Gets High Marks for First Year Physicians News Network January 2014
New Study Shows Patient Centered Medical Homes Improve Health, Lower Costs Blue Cross Blue Shield of Rhode Island November 2015
New Primary Care Model Delivers 20 Percent Lower Overall Healthcare Costs, Increases Patient Satisfaction and Delivers Better Care Qliance Medical Management Inc. January 2015
Montefiore Medical Center Reports Continued Success as a Pioneer ACO, Remains Committed to Program Monefoire Medical Center September 2014
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