Patient-centered medical home features and expenditures by medicare beneficiaries

Erica L. Stockbridge, Lindsey M. Philpot, Jose Pagan

Research output: Contribution to journalArticle

Abstract

Objectives: To determine the impact of individual features of the patientcentered medical home (PCMH) care model on next-year healthcare expenditures including outpatient, inpatient, emergency department, pharmacy, and total healthcare expenditures among Medicare beneficiaries 65 years and older. Study Design: Analysis of retrospective longitudinal survey data. Methods Longitudinal files from the Medical Expenditure Panel Survey were analyzed. Differences in expenditures for individuals whose usual sources of care did or did not have different PCMH features were estimated using recycled predictions from generalized linear regression models. Results: Having little to no difficulty contacting the regular source of care over the telephone during regular business hours was associated with significantly lower total and inpatient expenditures over the next year (differences of $2867 and $3736, respectively). Having a regular source of care with office hours at night or on weekends was associated with significantly lower outpatient, emergency department, and other expenditures (differences of $535, $103, and $328, respectively). Pharmacy expenditures were significantly higher for individuals whose usual source of care inquired about medications and treatments prescribed by other doctors (difference of $362). Conclusions: This study points out the need to identify how individual PCMH features impact healthcare expenditures across different policy-relevant categories. Practices that have not fully adopted a PCMH model can still make progress in improving quality and controlling costs by adopting even some modest features of the PCMH model.

Original languageEnglish (US)
Pages (from-to)379-385
Number of pages7
JournalAmerican Journal of Managed Care
Volume20
Issue number5
StatePublished - 2014

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Patient-Centered Care
Health Expenditures
Medicare
Delivery of Health Care
Hospital Emergency Service
Inpatients
Linear Models
Outpatients
Home Care Services
Telephone
Longitudinal Studies
Costs and Cost Analysis

ASJC Scopus subject areas

  • Health Policy

Cite this

Patient-centered medical home features and expenditures by medicare beneficiaries. / Stockbridge, Erica L.; Philpot, Lindsey M.; Pagan, Jose.

In: American Journal of Managed Care, Vol. 20, No. 5, 2014, p. 379-385.

Research output: Contribution to journalArticle

Stockbridge, Erica L. ; Philpot, Lindsey M. ; Pagan, Jose. / Patient-centered medical home features and expenditures by medicare beneficiaries. In: American Journal of Managed Care. 2014 ; Vol. 20, No. 5. pp. 379-385.
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