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Evaluating a Multipayer Medical Home Intervention

Joy Boone, MD1; Edgar A. Boone, MD2
[+] Author Affiliations
1University of Pittsburgh McKeesport Family Medicine Residency Program, McKeesport, Pennsylvania
2Excela Health Medical Group, Greensburg, Pennsylvania
JAMA. 2014;312(4):435-436. doi:10.1001/jama.2014.7140.
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To the Editor We participated in the southwestern Pennsylvania version of the PACCI and achieved level 3 NCQA PCMH recognition. Contrary to the findings of Dr Friedberg and colleagues,1 our practice did find a significant decrease in low-density lipoprotein cholesterol and systolic blood pressure levels in 126 patients with diabetes who were aged 18 to 75 years over the 18-month period from 2009 to 2011, when we achieved level 3 PCMH recognition. However, no change was noted in high-density lipoprotein cholesterol levels, diastolic blood pressure, and coronary heart disease risk scores. Hemoglobin A1c levels decreased 1 percentage point on average.


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July 23, 2014
Mark W. Friedberg, MD, MPP; Eric C. Schneider, MD, MSc; Rachel M. Werner, MD, PhD
1RAND Corporation, Boston, Massachusetts
2Center for Health Equity Research and Promotion, Philadelphia VA Medical Center, Philadelphia, Pennsylvania
JAMA. 2014;312(4):436. doi:10.1001/jama.2014.7146.
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