TY - JOUR AU - R. J. Reid AU - K. Coleman AU - E. A. Johnson AU - P. A. Fishman AU - C. Hsu AU - M. P. Soman AU - C. E. Trescott AU - M. Erikson AU - E. B. Larson A1 - AB - As the patient-centered medical home model emerges as a key vehicle to improve the quality of health care and to control costs, the experience of Seattle-based Group Health Cooperative with its medical home pilot takes on added importance. This paper examines the effects of the medical home prototype on patients' experiences, quality, burnout of clinicians, and total costs at twenty-one to twenty-four months after implementation. The results show improvements in patients' experiences, quality, and clinician burnout through two years. Compared to other Group Health clinics, patients in the medical home experienced 29 percent fewer emergency visits and 6 percent fewer hospitalizations. We estimate total savings of $10.3 per patient per month twenty-one months into the pilot. We offer an operational blueprint and policy recommendations for adoption in other health care settings. BT - Health affairs (Project Hope) C5 - Financing & Sustainability; Medical Home; Healthcare Policy CP - 5 CY - United States DO - 10.1377/hlthaff.2010.0158 IS - 5 JF - Health affairs (Project Hope) N2 - As the patient-centered medical home model emerges as a key vehicle to improve the quality of health care and to control costs, the experience of Seattle-based Group Health Cooperative with its medical home pilot takes on added importance. This paper examines the effects of the medical home prototype on patients' experiences, quality, burnout of clinicians, and total costs at twenty-one to twenty-four months after implementation. The results show improvements in patients' experiences, quality, and clinician burnout through two years. Compared to other Group Health clinics, patients in the medical home experienced 29 percent fewer emergency visits and 6 percent fewer hospitalizations. We estimate total savings of $10.3 per patient per month twenty-one months into the pilot. We offer an operational blueprint and policy recommendations for adoption in other health care settings. PP - United States PY - 2010 SN - 1544-5208; 0278-2715 SP - 835 EP - 843 EP - T1 - The group health medical home at year two: Cost savings, higher patient satisfaction, and less burnout for providers T2 - Health affairs (Project Hope) TI - The group health medical home at year two: Cost savings, higher patient satisfaction, and less burnout for providers U1 - Financing & Sustainability; Medical Home; Healthcare Policy U2 - 20439869 U3 - 10.1377/hlthaff.2010.0158 VL - 29 VO - 1544-5208; 0278-2715 Y1 - 2010 ER -