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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.2-4 We believe our evaluation provides important insights into the challenges of translating the PACCI into meaningful outcomes.

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