Philip A. Saynisch
Harvard Business School
NBER Working Papers and Publications
|July 2016||The Inner Workings of the Patient Centered Medical Home Model|
with Guy David, Aaron Smith-McLallen: w22429
The patient-centered medical home (PCMH) is a model for restructuring primary care with a focus on improved access to care and clinical excellence. However, to date, the evidence on its effect on healthcare utilization and expenditures has been quite mixed. One possible reason for this may lie in the flexibility with which a practice can meet the thresholds for PCMH recognition, adopting practice reforms in vastly different domains. Hence, practices with the same recognition level may in fact demonstrate divergent capabilities, and subsequently have different leverage over the achievement of the PCMH goals. We study this idea by using previously unavailable data that spans all PCMH recognition domains. The richness of our data allows us to group practices into clusters based on their choic...