Emergency department and inpatient hospital use by Medicare beneficiaries in patient-centered medical homes

Annals of Emergency Medicine
Jesse M PinesNancy McCall

Abstract

Patient-centered medical homes are primary care practices that focus on coordinating acute and preventive care. Such practices can obtain patient-centered medical home recognition from the National Committee for Quality Assurance. We compare growth rates for emergency department (ED) use and costs of ED visits and hospitalizations (all-cause and ambulatory-care-sensitive conditions) between patient-centered medical homes recognized in 2009 or 2010 and practices without recognition. We studied a sample of US primary care practices and federally qualified health centers: 308 with and 1,906 without patient-centered medical home recognition, using fiscal year 2008 to 2010 Medicare fee-for-service data. We assessed average annual practice-level payments per beneficiary for ED visits and hospitalizations and rates of ED visits and hospitalizations (overall and ambulatory-care-sensitive condition) per 100 beneficiaries before and after patient-centered medical home recognition, using a difference-in-differences regression model comparing patient-centered medical homes and propensity-matched non-patient-centered medical homes. Comparing patient-centered medical home with non-patient-centered medical home practices, the rate of growth i...Continue Reading

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Citations

Mar 26, 2016·Journal of Pediatric Nursing·Stacy Doyle
Jun 12, 2016·Annals of Emergency Medicine·Maria C RavenAndrew B Bindman
May 8, 2018·International Journal of Clinical Practice·Shamima KhanJoshua J Spooner
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Feb 28, 2021·International Journal of Health Economics and Management·Sudip Chattopadhyay

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