In this study a cross sectional evaluation was conducted to compare clinical effectiveness, user satisfaction and economic effects of a university based family health care network, Ancora UC, with the municipal primary care network from the counties where the Ancora centers are located. The...

This article analyzes potential barriers in the U.S. to the patient-centered medical home model, which is considered policy shorthand for the reinvention of primary care. Barriers include developing new payment models, personnel and infrastructure funding, and methods to facilitate transforming...

This article co-authored with the Agency for Healthcare Research and Quality, examines the distinct and complementary roles practice facilitators and care managers play in redesigning and improving primary care delivery. Practice facilitators coordinate practice quality improvement and redesign...

Health care reform may provide opportunities to enhance the mental health treatment capacity of primary care, but capitalizing on these opportunities might require bolstering the clinical skills of the primary care team. This article proposes a set of core mental health treatment and...

This issue brief evaluates the effects of a permanent 10 percent increase in Medicare fees for primary care ambulatory visits on Medicare costs. Using a simulation model with real-world parameters, the study found that, in spite of raising the overall cost of primary care visits, such a fee...

This paper uses a hybrid cost model to identify determinants of cost variation among programs that offer early intervention services to people living with HIV/AIDS. The model combines the effects of input price and output volume from traditional economic cost functions with institutional factors...

Medical homes are part of our nation’s overall efforts to reform the health care system. For decades, medical homes have been a model for coordinating health care for children, particularly those with special health care needs.The sixth brief in a new series from Mathematica looks at federal...