The Adirondack Medical Home Demonstration: A Case Study
Author(s): Gregory Burke; Sean Cavanaugh United Hospital Fund, 2011
One promising integrated effort in New York is the Adirondack Medical Home Demonstration (AMHD). In the northeast corner of the state, providers, payers, and the state government have been working together for four years to improve the way primary care is delivered in the region by implementing the principles of the patient-centered medical home in roughly 40 primary care practices.
This pilot project is testing the effect of implementing advanced patient-centered medical homes in an entire region that is rural and underserved. It involves essentially all primary care providers in the region, who have committed to achieving National Committee for Quality Assurance (NCQA) certification as patient-centered medical homes and other specified goals; and essentially all major payers in the region, who have agreed on a specific set of services and deliverables for which they would be willing to pay and a common payment rate for those services. The project is focused on improving access, quality, and continuity of care for all patients, while reducing avoidable utilization and cost.
