Patient-Centered Medical Home Pilot




HealthTeamWorks convened the Colorado Multi-Payer Patient-Centered Medical Home (PCMH) Pilot with participants at both the local and national levels. The project began in 2009 and officially concluded in April 2012. However, the pilot’s success has made the PCMH the standard for primary care delivery in Colorado, and HealthTeamWorks now is dedicated to spreading the model statewide.

The Colorado PCMH Pilot was one of many national endeavors initiated to demonstrate financial viability and improved quality of care. It tested the model in 16 family medicine and internal medicine practices along the Colorado Front Range. Seven health plans — Anthem-Wellpoint, United Healthcare, Humana, Aetna, CIGNA, Colorado Medicaid and CoverColorado — also participated, agreeing to pay practices a per-member per-month fee for up to 20,000 covered patients. That money helped the practices establish and maintain patient-centric activities such as care management and care coordination. Payment for the pilot began in May 2009, once practices met requirements to achieve at least a Level 1 NCQA* Medical Home designation.

HealthTeamWorks provided in-office coaching, innovative technology and learning collaboratives that brought participating practices together to share experiences. The pilot was evaluated by Meredith Rosenthal, PhD, from the Harvard School of Public Health, to determine its effect on quality, cost trends and satisfaction for patients and their healthcare teams. Final results from the project are pending.

The pilot was generously funded by The Colorado Trust and The Commonwealth Fund. Abbott Pharmaceuticals is supporting an additional six months of coaching in the practices, from March through August 2012.

Preliminary data indicate the pilot has been a decisive success in terms of patient outcomes, patient and provider satisfaction, and cost savings.

*National Committee for Quality Assurance