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
Title Source Date
Patient-Centered Medical Home Program Trims Expected Health Care Costs by $98 million in Second Year CareFirst Blue Cross Blue Shield June 2013
CareFirst BlueCross BlueShield’s Patient-Centered Medical Home Program: An Overview CareFirst Blue Cross Blue Shield June 2013
Patient-Centered Medical Homes: Do They Work? Alliance for Health Reform May 2013
Colorado Beacon Consortium: Strengthening the Capacity for Health Care Delivery Transformation in Rural Communities The Commonwealth Fund April 2013
The Patient-Centered Medical Home Initiative in New York State Medicaid New York State Department of Health April 2013
Vermont Blueprint for Health 2012 Annual Report Department of Vermont Health Access February 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
Gaining Ground: Care Management Programs to Reduce Hospital Admissions and Readmissions The Commonwealth Fund February 2013
Highmark to Expand Patient-Centered Medical Home Efforts to Improve Care and Health Outcomes for Members Highmark Blue Cross Blue Shield January 2013
V-BID in Action: A Profile of Connecticut’s Health Enhancement Program The University of Michigan Center for Value-Based Insurance Design January 2013
Geisinger Health Plans Case Study Geisinsger Health Plans January 2013
Data Published In Health Affairs Demonstrates Improved Health Outcomes And Lower Costs Associated With Cigna's Collaborative Accountable Care Program Cigna November 2012
Medical Home Program: Blue Cross Blue Shield Alabama BlueCross BlueShield Alabama October 2012
Benefits of Implementing the Primary Care Medical Home Patient-Centered Primary Care Collaborative September 2012
FACT SHEET: Blue Shield of California and Accountable Care Organizations (ACOs) Blue Cross Blue Shield of California August 2012
The Patient-Centered Medical Home PAFP Whitepaper Pennsylvania Academy of Family Physicians June 2012
CareFirst BlueCross BlueShield Announces First-Year Patient-Centered Medical Home Results CareFirst Blue Cross Blue Shield June 2012
Blue Cross And Blue Shield Patient-Centered Medical Home Programs Are Improving The Practice And Delivery Of Primary Care In Communities Nationwide Blue Cross Blue Shield Association June 2012
Analysis of Community Care of North Carolina Cost Savings Milliman December 2011
Blue Cross & Blue Shield of Rhode Island Electronic Health Record Program Delivers Significantly Improved Healthcare Quality Blue Cross Blue Shield December 2011
Two Blues Plans Find Success With Medical Homes, Look to Expansion AIS Report Blue Cross Blue Shield plans December 2011
Collaborative Accountable Care: CIGNA’s Approach to Accountable Care Organizations Cigna Industry Report November 2011
Building Tomorrow’s Healthcare System Blue Cross Blue Shield Association October 2011
Cigna's Collaborative Accountalbe Care Program With Medical Clinic of North Texas Shows Improved Quality, Lower Costs Cigna August 2011
Patient-Centered Medical Homes Improve Access and Quality of Care Amerigroup August 2011
Massachusetts Payment Reform Model: Results and Lessons Blue Cross Blue Shield of Massachussetts July 2011
United States Air Force Testimony Before the House Appropriations Committee, Subcommittee on Defense United States Air Force May 2011
Volume Impact: How will PCMHs Affect Downstream Utilization and Referrals? The Advisory Board Company February 2011
Are Higher-Value Care Models Replicable? Health Affairs Blog October 2009
HealthPartners BestCare HealthPartners June 2009
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