Total operating costs per patient higher in patient-centered medical homes; higher revenue also reported

Additional staff required to optimize care delivery model  

Englewood, Colo. Sept. 17, 2013— Physician practices are investing in patient-centered care and continuing to seek ways to better serve their communities, including formally or informally integrating or aligning with other stakeholders or exploring alternative models for delivering care, such as becoming a patient-centered medical home (PCMH). PCMHs reported higher operating costs per patient than those who were not a PCMH, according to the MGMA Cost Survey for Primary Care Practices: 2013 Report Based on 2012 Data. Though per patient costs were higher, PCMHs also reported higher total medical revenue (per patient) than those that are not a PCMH. For the first time in a national survey of this size, the Association has gathered and reported data within the Cost Survey Report regarding PCMH costs and revenue.

Increased operating costs per patient in PCMHs, in part, are due to a greater number of providers and staff being required to optimize the care-delivery model. PCMH’s reported a median of 29 total full-time-equivalent (FTE) support staff per 10,000 patients, compared with 18.5 total support staff FTEs per 10,000 patients for those not in PCMH’s. In addition, PCMHs reported more FTE providers per 10,000 patients.

“It’s possible to be truly patient-centered in any model of delivering care,” said Susan L. Turney, MD, MS, FACMPE, FACP, MGMA president and CEO. “Regardless of model, it requires a proper structure and foundation – the right providers and staff – to truly provide quality and cost-effective care to patients. It’s encouraging that physician practices are working to care and support their patients in new and innovative ways, even if it means a greater investment up front. Especially in an environment of such fiscal uncertainty, it’s evident that doing what’s best and investing in patients remains the top priority.”

The MGMA Cost Survey for Primary Care Practices: 2013 Report Based on 2012 Data includes data on 969 groups. The report also includes data broken out by panel size, procedure and revenue collections on CPT codes, as well as the most reported E&M codes. This information is available on DataDive, an easy-to-use Web-based format that allows users to access and drill down data for analysis.

Other Cost specialty reports include:

Cost Survey for Anesthesia and Pain Management Practices: 2013 Report Based on 2012 Data
Cost Survey for Orthopedic Practices: 2013 Report Based on 2012 Data

Note: MGMA surveys depend on voluntary participation and may not be representative of the industry. Readers are urged to review the entire survey report when making conclusions regarding trends or other observations.

Contact Liz Boten, media relations manager, at lboten@mgma.com to request data or information about the survey. Click here to purchase a copy of the report.

About MGMA
MGMA is the premier association for professional administrators and leaders of medical group practices. In 2011, members of the Medical Group Management Association (MGMA), and its standard-setting division, the American College of Medical Practice Executives (ACMPE), voted to merge to form a new association. Since 1926, the Association has delivered networking, professional education and resources, political advocacy and certification for medical practice professionals. The Association represents 22,500 members who lead 13,200 organizations nationwide in which some 280,000 physicians provide more than 40 percent of the healthcare services delivered in the United States.

MGMA’s mission is to continually improve the performance of medical group practice professionals and the organizations they represent, helping medical practices provide efficient, safe, patient-focused and affordable care. MGMA is headquartered in Englewood, Colo., and maintains a government affairs office in Washington, D.C. Please visit mgma.com.

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