title: Measuring the Cost of the Patient-Centered Medical Home: A Cost-Accounting Approach.
abstract: 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 the National Committee for Quality Assurance. There were 3 key findings. The cost of each PCMH-related clinical activity can be classified in 1 of 3 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.
authors.affiliation: Department of Public Health, College of Education, Health, and Human Sciences, The University of Tennessee, Knoxville (Dr Lieberthal); and Department of Family and Community Medicine, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania (Ms Payton and Drs Sarfaty and Valko).
authors.forename: Robert D
authors.initials: RD
authors.lastname: Lieberthal
authors.forename: Colleen
authors.initials: C
authors.lastname: Payton
authors.forename: Mona
authors.initials: M
authors.lastname: Sarfaty
authors.forename: George
authors.initials: G
authors.lastname: Valko
mesh_terms: D000066:Accounting / Q000379:methods*; D003365:Costs and Cost Analysis / Q000379:methods*; D003695:Delivery of Health Care / Q000191:economics; D006291:Health Policy; D006801:Humans; D018802:Patient-Centered Care / Q000191:economics*