Health Affairs September 10, 2018
“Reports of my death,” Mark Twain famously wrote, “are greatly exaggerated.”
The same is true for studies that find little or no benefit with patient-centered medical homes (PCMHs). One of the most widely cited and still recalled of these appeared in the Journal of the American Medical Association (JAMA) in 2014. The study evaluated PCMHs in the first three years of the National Committee for Quality Assurance’s (NCQA) initial 2008 program and found “limited improvements in quality” with no hospital, emergency department, ambulatory care, or total cost reductions. The authors did not note that the practices back then had no financial incentives to improve cost or quality.
Those who wrote PCMHs off based on such premature evaluations need...
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