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.2- 4 We believe our evaluation provides important insights into the challenges of translating the PACCI into meaningful outcomes.
Cronholm PF, Miller-Day M, Gabbay R. Evaluating a Multipayer Medical Home Intervention. JAMA. 2014;312(4):435. doi:10.1001/jama.2014.7143