Evaluating Models of Medical Home Payment Within the Pennsylvania Chronic Care Initiative


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.

Grant Details

Grantee Organization:
RAND Corporation
Principal Investigator:
Mark W. Friedberg, M.D., M.P.P.
Award Amount:
Approval Date:
April 13, 2010

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