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Comment & Response
July 23/30, 2014

Evaluating a Multipayer Medical Home Intervention

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

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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