Evaluating Models of Medical Home Payment Within the Pennsylvania Chronic Care Initiative
Award Amount:
$496,162
Approval Date:
April 13, 2010
Start Date:
May 1, 2010
End Date:
June 30, 2013
RAND Corporation
1776 Main Street
P.O. Box 2138
Santa Monica, California 90407
Principal Investigator:
Mark W. Friedberg, M.D., M.P.P.
The Pennsylvania Chronic Care Initiative, the most extensive multipayer medical home demonstration program in the nation, is testing the effectiveness of four models for financially rewarding primary care sites that function as patient-centered medical homes. RAND and Harvard researchers will assess the differential impact of these payment approaches-which range from per-member per-month care management fees to 'shared savings' to one-time grants-on health care utilization, efficiency, cost, and quality of care. In addition, the team will compare the results in Pennsylvania with those from the Colorado, Ohio, and Rhode Island medical home initiatives, which the researchers are evaluating under other Fund grants.