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Incremental cost estimates for the patient-centered medical home
Incremental cost estimates for the patient-centered medical home
Despite wide and growing interest in the medical home approach, little is known about the costs it entails. This analysis uses data from some three dozen practices to analyze the relationship, if any, between costs and medical home activities. The cost data are from the Medical Group Management Association Cost Survey and from the American College of Physicians Practice Management Check Up Tool for 2006; the medical home data are from the National Committee for Quality Assurance's Physician Practice Connections--Patient-Centered Medical Home recognition tool. We do not find evidence of additional costs associated with higher levels of "medical homeness," with the exception of information technology costs, which show a modest but statistically significant increase with medical home intensity. We acknowledge that the general lack of an association between costs and medical home intensity may be due to limitations of the data or to the definition of medical home.
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