Patient-Centered Medical Homes in New York, 2018 Update: Drivers of Growth and Challenges for the Future

The related press release can be found here.

Since 2011, adoption by primary care practices across New York State of the National Committee for Quality Assurance Patient-Centered Medical Home (PCMH) model has grown steadily. Over that period, the number of PCMH clinicians has increased from roughly 3,400 to over 9,000.

To better understand the trajectory and drivers of PCMH adoption in New York State, United Hospital Fund has been analyzing and reporting on this trend, focusing on the adoption of the PCMH model by region and by type of practice. Certain regions and provider types have adopted the PCMH model much more rapidly and completely than others. Understanding this disparity is key to responding to it, focusing attention and resources on helping those that have lagged behind.

The brief also identifies other challenges that will need to be met in order for the model to spread further: the ongoing challenge of getting payers outside Medicaid to pay for the medical home’s additional upfront costs; and figuring out how the PCMH model fits in with other changes in the primary care field—for instance, the growing prevalence of urgent care centers and technologies emphasizing customer convenience.

As in previous years, an accompanying chartbook provides more detailed data on PCMH adoption by region and type of primary care practice. The main data brief and the accompanying chartbook may be downloaded as separate pdfs.

This report was supported in part by The Peter and Carmen Lucia Buck Foundation.