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Comment & Response
July 23/30, 2014

Evaluating a Multipayer Medical Home Intervention

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

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.