To What Extent Are ACO and PCMH Models Advancing the Triple Aim Objective? Implications and Considerations for Primary Care Medical Practices

Abstract

Accountable care organizations (ACOs) and patient-centered medical homes (PCMHs) have emerged to advance the health care system by achieving the Triple Aim of improving population health, reducing costs, and enhancing the patient experience. This review examines evidence regarding the relationship between these innovative care models and care outcomes, costs, and patient experiences. The 28 articles summarized in this review show that ACO and PCMH models play an important role in achieving the Triple Aim, when compared with conventional care models. However, there can be drawbacks associated with model implementation. The longterm success of these models still merits further investigation.

Curricular Interventions in Medical Schools: Maximizing Community Engagement Through Communities of Practice

“…More recently, the NCMEDR has worked with the Schools of Medicine and Dentistry to integrate project outputs into their respective curricula which has transformed the delivery of high-quality patient-centered care in Meharry clinics, and led to savings in health care costs and improved health outcomes. [51][52][53][54][55] We are working with the Schools of Medicine and Dentistry to integrate other curricular models within the comprehensive Patient-Centered Medical Home (PCMH) training program that will directly impact 420 medical students, 200 dental students, and 72 residents (18 family medicine/45 medicine/9 general practice). The CoPs impact on curriculum transformation and clinical care has been very effective in promoting optimal health 56,57 and ensuring the needs of socially vulnerable populations are addressed.…”

The Patient-Centered Dental Home: A Framework for Quality Measurement, Improvement, and Integration

“…The patient-centered medical home (PCMH) evolved from a model focused on providing care coordination for children with special health care needs to a strategy for transforming how primary care is delivered in the United States (Sia et al 2004; Centers for Disease Control and Prevention 2021; Agency for Healthcare Research and Quality [AHRQ] 2022; Cantiello 2022). Although the goal is to provide patient-centered, coordinated care, the PCMH model has not bridged the gap in medical-dental integration despite the widespread recognition of the important role of oral health in primary care and disease prevention.…”