TY - JOUR
KW - access to care
KW - Health Spending
KW - Organization and Delivery of Care
AU - P. L. Hebert
AU - C. F. Liu
AU - E. S. Wong
AU - S. E. Hernandez
AU - A. Batten
AU - S. Lo
AU - J. M. Lemon
AU - D. A. Conrad
AU - D. Grembowski
AU - K. Nelson
AU - S. D. Fihn
A1 - 
AB - In 2010 the Veterans Health Administration (VHA) began a nationwide initiative called Patient Aligned Care Teams (PACT) that reorganized care at all VHA primary care clinics in accordance with the patient-centered medical home model. We analyzed data for fiscal years 2003-12 to assess how trends in health care use and costs changed after the implementation of PACT. We found that PACT was associated with modest increases in primary care visits and with modest decreases in both hospitalizations for ambulatory care-sensitive conditions and outpatient visits with mental health specialists. We estimated that these changes avoided $596 million in costs, compared to the investment in PACT of $774 million, for a potential net loss of $178 million in the study period. Although PACT has not generated a positive return, it is still maturing, and trends in costs and use are favorable. Adopting patient-centered care does not appear to have been a major financial risk for the VHA.
BT - Health affairs (Project Hope)
C5 - Medical Home
CP - 6
CY - United States
DO - 10.1377/hlthaff.2013.0893
IS - 6
JF - Health affairs (Project Hope)
N2 - In 2010 the Veterans Health Administration (VHA) began a nationwide initiative called Patient Aligned Care Teams (PACT) that reorganized care at all VHA primary care clinics in accordance with the patient-centered medical home model. We analyzed data for fiscal years 2003-12 to assess how trends in health care use and costs changed after the implementation of PACT. We found that PACT was associated with modest increases in primary care visits and with modest decreases in both hospitalizations for ambulatory care-sensitive conditions and outpatient visits with mental health specialists. We estimated that these changes avoided $596 million in costs, compared to the investment in PACT of $774 million, for a potential net loss of $178 million in the study period. Although PACT has not generated a positive return, it is still maturing, and trends in costs and use are favorable. Adopting patient-centered care does not appear to have been a major financial risk for the VHA.
PP - United States
PY - 2014
SN - 1544-5208; 0278-2715
SP - 980
EP - 987
EP - 
T1 - Patient-centered medical home initiative produced modest economic results for Veterans Health Administration, 2010-12
T2 - Health affairs (Project Hope)
TI - Patient-centered medical home initiative produced modest economic results for Veterans Health Administration, 2010-12
U1 - Medical Home
U2 - 24889947
U3 - 10.1377/hlthaff.2013.0893
VL - 33
VO - 1544-5208; 0278-2715
Y1 - 2014
ER -