Study Finds PCMHs with NCQA Recognition Drive Health Care Costs Down

WASHINGTON--()--A new independent study, conducted by RTI International and published in the Health Services Research journal, finds the NCQA Patient-Centered Medical (PCMH) model reduces costs and utilization of some health care services, when compared to practices that have not earned the NCQA seal. The study involved practices serving participants in the Medicare Fee-for-Service (FFS) program. NCQA has experts ready to answer your questions about the study.

Key findings include:

  • Practices that received PCMH Recognition from NCQA during the study saw a 5 percent greater reduction in average Medicare payments than their non-accredited counterparts - with 2/3 of the difference due to a decline in payments to acute care hospitals.
  • Overall emergency room visit declined by 6 percent once a practice received PCMH Recognition from NCQA.
  • Among “sicker than average” patients studied, NCQA-recognized PCMHs reduced hospitalizations by 4 percent more than non-recognized practices and emergency room utilization by 10 percent more.

“I am proud of the gains achieved by our accredited partners,” NCQA President Peggy O’Kane said. “These results, coupled with those from a number of previous studies, make clear that Patient-Centered Medical Homes are helping to meet peoples’ health care needs in the appropriate setting and reducing unnecessary costs and procedures.”

NCQA experts are available to answer any questions you may have about the study or our recognition program for PCMHs. Please contact Andy Reynolds or Apoorva Stull to arrange a conversation.

NCQA will host a briefing in early September to review the findings from the study. Stay tuned for more information.

Contacts

National Committee for Quality Assurance (NCQA)
Apoorva Stull, 202-955-3567
stull@ncqa.org

Release Summary

An independent research study adds to the evidence that NCQA recognized PCMHs reduces costs and utilization of health care services, when compared to practices that don't have NCQA PCMH recognition.

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Contacts

National Committee for Quality Assurance (NCQA)
Apoorva Stull, 202-955-3567
stull@ncqa.org