Developing a Risk-Adjustment Model for Paying Patient-Centered Medical Home Practices


Using health care claims data, this project will develop a practical and generalizable approach for making risk-adjusted payments, and for measuring and rewarding quality for groups of primary care providers that function as patient-centered medical homes. The research team will devise approaches to paying medical home practices appropriately for their patient case mix and incorporate incentives to achieve efficient, high-quality care. In addition, the team will investigate how the patient-centered medical home can be implemented in a multipayer setting marked by a diversity of health plan types with their own payment methods and cost-sharing arrangements.

Grant Details

Grantee Organization:
University of Massachusetts Medical School
Principal Investigator:
Arlene Ash, Ph.D.
Award Amount:
Approval Date:
November 10, 2009

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