[Skip to Navigation]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 35.170.64.36. Please contact the publisher to request reinstatement.
Invited Commentary
October 14, 2013

Less Tinkering, More Transforming: How to Build Successful Patient-Centered Medical Homes

Author Affiliations
  • 1Department of Medicine, University of California, San Francisco
JAMA Intern Med. 2013;173(18):1702-1703. doi:10.1001/jamainternmed.2013.8964

The patient-centered medical home (PCMH) movement has reached a sink-or-swim moment. Government and private payers are evaluating their return on investment, and many studies of PCMH interventions have not demonstrated savings despite extra investment.1 However, a few cases of the PCMH resulted in the contrary: large reductions in emergency department (ED) visits and hospitalizations.2,3 The difference between successful and unsuccessful examples is glaring. If medical homes emulated best practices to gain PCMH status, the transformation would prove worth the investment.

×