One of the first, largest, and longest-running multipayer trials of patient-centered medical home medical practices in the United States was associated with limited improvements in quality and was not associated with reductions in use of hospital, emergency department, or ambulatory care services or total costs of care over 3 years, according to a study in JAMA. The patient-centered medical home is a team-based model of primary care practice intended to improve the quality, efficiency, and patient experience of care.

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