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Evaluating a Multipayer Medical Home Intervention

Peter F. Cronholm, MD, MSCE1; Michelle Miller-Day, PhD2; Robert Gabbay, MD, PhD3
[+] Author Affiliations
1Department of Family Medicine and Community Health, University of Pennsylvania, Philadelphia
2Department of Communication Studies, Chapman University, Orange, California
3Joslin Diabetes Center, Harvard Medical School, Boston, Massachusetts
JAMA. 2014;312(4):435. doi:10.1001/jama.2014.7143.
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To the Editor Dr Friedberg and colleagues1 analyzed a multipayer medical home intervention and failed to demonstrate meaningful outcomes. We performed a rigorous mixed-methods evaluation of the same PACCI through on-site observations and interviewing 118 individuals (clinicians, staff, and administrators) at 17 of the 25 participating primary care practices in the PACCI.24 We believe our evaluation provides important insights into the challenges of translating the PACCI into meaningful outcomes.


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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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