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BlueCross BlueShield of Michigan has reduced expected spending by $626 million over a nine-year period through a patient-centered medical home (PCMH) model that emphasizes personalized care.
The payer found that the PCMH increased rates of preventive and coordinated care that help patients avoid emergency room visits and hospital stays. Compared to other practices, BlueCross PCMH-designated practices had a 27 percent lower rate of adult hospitalizations for conditions treatable in lower-cost settings.
BCBS of Michigan PCMHs also had a 16 percent lower rate of adult ED visits, and a 26 percent lower rate of pediatric ED visits for common acute conditions