Measuring the cost of the Patient-Centered Medical Home: A cost accounting approach

摘要

To explore the cost for individual practices to become more patient-centered, we inventoried and calculated the cost of costly activities involved in implementing the Patient-Centered Medical Home (PCMH) as defined by NCQA. There were three key findings. The cost of each PCMH-related clinical activity can be classified in one of three major categories. Cost offsets can be used to defray part of the cost recognition. The cost of PCMH transformation varied by practice with no clear level or pattern of costs. Our study suggests that small and medium sized practices may experience difficulty with the financial burden of PCMH recognition.