{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T05:42:55Z","timestamp":1778823775180,"version":"3.51.4"},"reference-count":34,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2018,8,7]],"date-time":"2018-08-07T00:00:00Z","timestamp":1533600000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","award":["R24 HS019659\u201001"],"award-info":[{"award-number":["R24 HS019659\u201001"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Services Research"],"published-print":{"date-parts":[[2018,12]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To examine the association between medical home enrollment and receipt of recommended care for Medicaid beneficiaries with multiple chronic conditions (<jats:styled-content style=\"fixed-case\">MCC<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Data Sources\/Study Setting<\/jats:title><jats:p>Secondary claims data from fiscal years 2008\u20132010.\u00a0The sample included nonelderly Medicaid beneficiaries with at least two of eight\u00a0target conditions (asthma, chronic obstructive pulmonary disease, diabetes, hypertension, hyperlipidemia, seizure disorder, major depressive disorder, and schizophrenia).<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>We used linear probability models with person\u2010 and year\u2010level fixed effects to examine the association between patient\u2010centered medical home (<jats:styled-content style=\"fixed-case\">PCMH<\/jats:styled-content>) enrollment and nine disease\u2010specific quality\u2010of\u2010care metrics, controlling for selection bias and time\u2010invariant differences between enrollees.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data Collection Methods<\/jats:title><jats:p>This study uses a dataset that links Medicaid claims with other administrative data sources.<\/jats:p><\/jats:sec><jats:sec><jats:title>Principal Findings<\/jats:title><jats:p>Patient\u2010centered medical home enrollment was associated with an increased likelihood of receiving eight recommended mental and physical health services, including A1C testing for persons with diabetes, lipid profiles for persons with diabetes and\/or hyperlipidemia, and psychotherapy for persons with major depression and persons with schizophrenia. <jats:styled-content style=\"fixed-case\">PCMH<\/jats:styled-content> enrollment was associated with overuse of short\u2010acting <jats:italic>\u03b2<\/jats:italic>\u2010agonists among beneficiaries with asthma.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The <jats:styled-content style=\"fixed-case\">PCMH<\/jats:styled-content> model can improve quality of care for patients with multiple chronic conditions.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1475-6773.13024","type":"journal-article","created":{"date-parts":[[2018,8,8]],"date-time":"2018-08-08T02:57:56Z","timestamp":1533697076000},"page":"4667-4681","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Do Medical Homes Improve Quality of Care for Persons with Multiple Chronic Conditions?"],"prefix":"10.1111","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4074-4867","authenticated-orcid":false,"given":"Karen E.","family":"Swietek","sequence":"first","affiliation":[{"name":"NORC at the University of Chicago Boston 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