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Evaluating a Medical Home Plan Coupled with Innovative Payment Reform for Primary Care, Phase 1

Award Amount: $223,439
Approval Date: November 11, 2008
Start Date: January 1, 2009
End Date: June 30, 2010
Brigham and Women's Hospital
1620 Tremont Street, 3rd Floor, BC3-2M
Boston, Massachusetts 02120-1613
Principal Investigator: David Bates, M.D., M.Sc.

This evaluation will assess a unique medical home payment model under which primary care practices are paid a comprehensive, risk-adjusted, per-patient annual fee covering infrastructure and salaries. Currently, this global fee model is being tested as part of a medical home demonstration in nine primary care practices in Albany, N.Y., and Massachusetts. The proposed evaluation will determine if the new payment method is associated with reduced health system costs, improved patient care outcomes, and higher patient and physician satisfaction. Cofunding is being sought from the Hatch Family Foundation.