The Group Health medical home at year two: cost savings, higher patient satisfaction, and less burnout for providers
Abstract
As the patient-centered medical home model emerges as a key vehicle to improve the quality of health care and to control costs, the experience of Seattle-based Group Health Cooperative with its medical home pilot takes on added importance. This paper examines the effects of the medical home prototype on patients' experiences, quality, burnout of clinicians, and total costs at twenty-one to twenty-four months after implementation. The results show improvements in patients' experiences, quality, and clinician burnout through two years. Compared to other Group Health clinics, patients in the medical home experienced 29 percent fewer emergency visits and 6 percent fewer hospitalizations. We estimate total savings of $10.3 per patient per month twenty-one months into the pilot. We offer an operational blueprint and policy recommendations for adoption in other health care settings.
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The Group Health Cooperative reduced physician panel sizes, increased ancillary staff, lengthened visit times, and provided time for team care planning, in addition to expanding technology to better engage patients; comparison with control clinics demonstrated better patient satisfaction scores, reduced provider burnout, improved performance on quality of care metrics, and reduced emergency
“The Group Health Cooperative reduced physician panel sizes, increased ancillary staff, lengthened visit times, and provided time for team care planning, in addition to expanding technology to better engage patients.Comparison with control clinics in the area demonstrated better patient satisfaction scores, reduced provider burnout, improved performance on quality of care metrics, and reduced”
From The CardioMetabolic Health Alliance (2015) · cites this paper as [97]
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- Authors
- Reid, R. J., Coleman, K., Johnson, E. A., Fishman, P. A., Hsu, C., Soman, M. P., Trescott, C. E., Erikson, M., & Larson, E. B.
- Affiliations
- Kaiser Permanente Washington Health Research Institute (US)
- Group Health Cooperative (US)
- Venue
- Health Affairs
- Publisher
- Health Affairs Publishing, LLC
- Published
- 2010-05
- Volume
- 29
- Issue
- 5
- Pages
- 835-843
- ISSN
- 0278-2715 (ISSN-L)
- 1544-5208
- OpenAlex
- W2056507942
- Cited by
- 567
- References
- 22
- Citations by year
- 2026: 6 · 2025: 7 · 2024: 6 · 2023: 3 · 2022: 12 · 2021: 14 · 2020: 30 · 2019: 40 · 2018: 23 · 2017: 44 · 2016: 55 · 2015: 65 · 2014: 86 · 2013: 60 · 2012: 66
- FWCI
- 99.39
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health Affairs (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
- Health Sciences › Health Professions › General Health Professions › Patient Satisfaction in Healthcare
- Keywords
- patient-centered medical home, Group Health Cooperative, cost reduction, patient satisfaction, clinician burnout, emergency department visits, hospitalization, quality of care, health care costs, primary care reform, models of care
- MeSH terms
- Burnout, Professional, Health Maintenance Organizations, Humans, Pilot Projects, Primary Health Care, Washington, Cost Savings, Patient Satisfaction, Models, Organizational, Patient-Centered Care
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