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Lessons that patient-centered medical homes can learn from the mistakes of HMOs

Overview
Title:
Lessons that patient-centered medical homes can learn from the mistakes of HMOs
Authors:
Mirabito AM, Berry LL
Journal:
Ann Intern Med
Publication date:
2010
Volume:
152
Issue:
3
First page:
182
Last page:
185
ISSN:
1539-3704
Link to pubmed:
http://www.ncbi.nlm.nih.gov/pubmed/20124235
Publication type:
Journal
Free text

Patient-centered medical homes (PCMHs) have been endorsed by primary and specialty care medical associations, payers, and patient groups as an innovative structure for transforming health care delivery. The cornerstone principle of the PCMH is the primary care physician's coordination of a patient's use of health care services, including visits to specialists, to improve effectiveness and efficiency. This principle aligns with the vision behind the creation of HMOs, managed care organizations that were once embraced by physicians, patients, and policy analysts but have since lost much of their luster. Many patients and physicians rejected HMOs as too restrictive, objecting particularly to the concept of gatekeeping. This article reviews the HMO experience and identifies lessons applicable to PCMHs that build on the strengths of HMOs while avoiding their mistakes.

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Lessons that patient-centered medical homes can learn from the mistakes of HMOs Mirabito AM, Berry LL. Ann Intern Med 2010; 152(3):182-185.

Page last updated: Oct 14, 2010
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