Capsule Commentary on Gimm et al., Provider Experiences with a Payer-Based PCMH Program

Excerpt

This cross-sectional study by Gimm et al.¹ examines provider perceptions of the value of a voluntary, payer-based intervention promoting the Patient-Centered Medical Home (PCMH) model. The five key elements of the intervention were external nurse care coordinators (NCC), individualized care plans, financial incentives, quarterly quality and performance “panel” meetings, and a data portal with cost information. Participants were surveyed by recorded semi-structured focus groups or phone interviews. Thematic analysis of transcript data was performed by a multidisciplinary team. Interventions that supported care coordination (NCC, care plans) were considered valuable. Those aimed at cost control (panel meetings, data portal, incentives) were considered inconvenient and untrustworthy. …