Journal
HEALTH AFFAIRS
Volume 34, Issue 1, Pages 78-86Publisher
PROJECT HOPE
DOI: 10.1377/hlthaff.2014.0404
Keywords
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Funding
- Robert Wood Johnson Foundation [35305, 68847, 51573]
- Commonwealth Fund [20050334]
- California HealthCare Foundation [04-1109]
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The effective management of patients with chronic illnesses is critical to bending the curve of health care spending in the United States and is a crucial test for health care reform. In this article we used data from three national surveys of physician practices between 2006 and 2013 to determine the extent to which practices of all sizes have increased their use of evidence-based care management processes associated with patient-centered medical homes for patients with asthma, congestive heart failure, depression, and diabetes. We found relatively large increases over time in the overall use of these processes for small and medium-size practices as well as for large practices. However, the large practices used fewer than half of the recommended processes, on average. We also identified the individual processes whose use increased the most and show that greater use of care management processes is positively associated with public reporting of patient experience and clinical quality and with pay-for-performance.
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