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Primary Care, PCMH Key to Improving Health Care Quality, Saving Billions, Says Report
The report looks at ways of stabilizing U.S. health care spending, while at the same time boosting the health care system's performance, by moving from a volume-based to a value-based health care system. The aim is to improve overall patient care and save billions in health care costs. To achieve that goal, the commission has identified three overarching strategies:
- The Commonwealth Fund has issued a new report that identifies primary care and the patient-centered medical home (PCMH) as keys to improving health care quality and achieving billions in health care cost savings during the next decade.
- The report lists broad strategies and specific policies that rely heavily on primary care and the PCMH to achieve improved quality, enhanced access and cost savings.
- By adopting the report's recommendations, the U.S. health care system could reduce health care expenditures by more than $2 trillion.
- provider payment reforms to promote value and accelerate health care delivery system innovation;
- policies to expand options and encourage high-value choices by consumers armed with better information about the quality and cost of care; and
- systemwide action to improve how health care markets function, including by reducing administrative costs and setting national and regional targets for spending growth.
"By instituting broader Medicare payment reforms and ensuring these spread to Medicaid, as well, the pace of delivery system reform would be accelerated without resorting to across-the-board reductions in provider payments and would produce substantial net savings for federal programs," the report states.
"The commission is saying that primary care is really central to the health care system," said Stuart Gutterman, vice president and executive director of the Commission on a High Performance Health System, in an interview with AAFP News Now. "Primary care is usually the first point of contact for the health care system. Increasingly, we are seeing (payers) adopt what is known as the patient-centered medical home approach."
U.S. Households Would Be "Major Winners"
"In the end, reduced health spending by federal, state and local governments, and private employers also would accrue to households, which ultimately bear the burden of health spending through higher taxes, reduced wages and direct out-of-pocket costs," says the report.
Even with the savings, the health care sector would continue to grow, the report notes. But this growth would provide resources to innovate while also meeting the needs of an aging population.
"We are trying to focus on policies that would improve the health care system and make it more satisfying for people who work in the health care system and interact with the health care system instead of the alternative, which would mean taking payments from providers or benefits from people who access the health care system," said Gutterman.
AAFP Applauds Goals of Report
"The AAFP consistently has called for comprehensive health care system reform based on primary care, which would improve quality, increase access and bend the cost curve," said Cain. "This report takes a similar approach."
Cain noted that the report underscores the ability of primary care to achieve the goals of higher quality, enhanced patient access and better controlled costs.
For example, the report cites evidence from the United States and abroad that attests "to the potential of redesigned primary care and care teams to improve care and patient experiences -- and to lower costs over time by preventing complications and reducing avoidable use of hospitals and more specialized care."
Primary Care, PCMH Future of Health Care