Cost Savings

Impact of the Rochester Medical Home Initiative on Primary Care Practices, Quality, Utilization, and Costs

BACKGROUND: Patient-centered medical homes (PCMH) may improve the quality of primary care while reducing costs and utilization. Early evidence on the effectiveness of PCMH has been mixed.

OBJECTIVES: We analyze the impact of a PCMH intervention in Rochester NY on costs, utilization, and quality of care.

New Study Shows Patient Centered Medical Homes Improve Health, Lower Costs

Patient centered medical home (PCMH) practices can improve health outcomes and lower costs for patients, according to a new study by Blue Cross & Blue Shield of Rhode Island (BCBSRI). At the end of a five-year study period, and in the final year of the study, PCMH practices were 5 percent less costly and saved $30M compared to standard primary care providers.

Arkansas Medicaid Rewarding Primary Care Providers for Prevention, Disease Management

LITTLE ROCK – The Arkansas Department of Human Services recognized 19 primary care providers from across the state Friday morning for their work to improve the quality of care they provided patients while also helping the state avoid about $34 million in Medicaid costs in 2014. The 19 providers were awarded a total of over $5 million.

Primary care makes strides in improving quality and costs

Today, the Centers for Medicare & Medicaid Services (CMS) announced promising results of the first shared savings performance year for the Comprehensive Primary Care (CPC) initiative. This model is part of our broader effort at CMS to promote better care, smarter spending, and healthier people.

Changes in Low-Value Services in Year 1 of the Medicare Pioneer Accountable Care Organization Program

Importance  Wasteful practices are widespread in the US health care system. It is unclear if payment models intended to improve health care efficiency, such as the Medicare accountable care organization (ACO) programs, discourage the provision of low-value services.

Objective  To assess whether the first year of the Medicare Pioneer ACO program was associated with a reduction in use of low-value services.

State Auditor Report: Community Care of North Carolina

BACKGROUND

CCNC is a managed primary care program that served approximately 1.3 million of approximately 1.5 million Medicaid beneficiaries in the state as of December 31, 2012.

Patient-centered care continues to deliver on promise of better quality care at a lower cost


Members receiving care from a doctor who participates in a patient-centered program are scoring higher on quality care metrics – at a cost that is nine percent lower -- than those members at traditional doctor practices, according to the 2014 results of Horizon Blue Cross Blue Shield of New Jersey's patient-centered programs.

Quality Remains Strong as Cost Increases Slow Dramatically for Members in Patient-Centered Medical Home Program

Baltimore, MD (July 30, 2015) - In its fourth full year of operation, CareFirst BlueCross BlueShield’s (CareFirst) Patient-Centered Medical Home (PCMH) program continues to show dramatic impacts on overall medical spending and key health care quality indicators. Before the program’s inception in 2011, CareFirst experienced overall rates of increase in medical spending that averaged 7.5 percent annually. By 2014, the overall rate of increase slowed to 3.5 percent.

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