PCMH Reports

Maryland Patient Centered Medical Home: An Assessment of Practices that Achieved Pilot Goals

The Maryland Health Care Commission (MHCC) established the Maryland Multi-Payor Patient Centered Medical Home (PCMH) Program (MMPP) in 2011 as required by Health-General Article §19-1A-01, et sequentes. The law required MHCC to develop a three-year pilot, which aims to improve the health and satisfaction of patients and slow the growth of health care costs in Maryland, while supporting the satisfaction and financial viability of primary care providers in the State. Approximately 52 primary care practices were selected for participation in the MMPP pilot. The MHCC conducted an interim assessment of participating practices that consistently achieved goals of the MMMP pilot over the first two years. The assessment sought to identify key lessons learned from practices that have shown consistent improvements through their participation in the MMPP pilot.  

Evaluation of the Maryland Multi-Payor Patient Centered Medical Home: An Overview of the First Annual Report

The MHCC conducted an evaluation after the first year of the Maryland Multi-Payor Patient Centered Medical Home Program (MMPP) pilot. At the end of the first year, the findings suggest that MMPP practices improved the patient experience, enhanced the provider satisfaction, and increased the quality of health care delivery. This is a partial summary of the Evaluation of the Maryland Multi-Payor Patient Centered Medical Home, First Annual Report (annual report) that was released in December of 2013.

Evaluation of the Maryland Multi-Payer Patient Centered Medical Home Program - First Annual Report (2013)

This independent evaluation assessed the progress of MMPP practices in achieving patient centered medical home (PCMH) goals that included improving the quality of care, increasing patient and provider satisfaction, and controlling health care costs.

PCMH Update to the HGO Committee (2013)

A presentation on the Maryland Multi-Payor patient Centered Medical Home to the House Health and Government Operations Committee by the Maryland Health Care Commission (MHCC).

MMPP Disparities Report to the General Assembly (2012)

A report regarding Chapter 3 of the 2012 regular session, the Maryland Health Improvement and Disparties Reduction Act of 2012 established a process that required, among other things, that MHCC complete and submit a report on the possibility of including racial and ethnic performance data tracking in statewide quality incentive programs.  As evidenced by the passage of this legislation, the Maryland General Assembly recognized that physician-based shared savings initiatives can widen resource gaps among physicians' organizations.  Those physicians located in areas with receognized greater health disparities might be less able to obtain bonuses due to their difficult patient mix.  Several pay-for-performance programs established in the last decade have published findings, one of which was that practices with a higher percentage of minority patients were less likely to generate total savings in the cost of care. These results suggested that reward programs may need to be designed to provide additional incentives to practices that serve more vulnerable populations.