Gatekeeping and Patterns of Outpatient Care Post Healthcare Reform
Is specialist “gatekeeping” in modern health maintenance organization (HMO) insurance associated with differences in outpatient care? The study finds that HMO gatekeeping may meaningfully reduce specialist utilization.
Enhanced Primary Care and Impact on Quality of Care in Massachusetts
In a statewide telephone survey, patient-reported indicators of the patient-centered medical home correlated with improved process measures in diabetes, cholesterol screening, vaccination, and care access.
Patient-Centered Medical Home Transformation With Payment Reform: Patient Experience Outcomes
In a pilot patient-centered medical home transformation including Lean quality improvement methodology with payment reform, patient experience was sustained or improved across key domains.