Table 2.
Key Characteristics of contracts between ATs and PCMHs
| Signed (n=79) |
Planning (n=59) |
Discussion (n=36) |
|
|---|---|---|---|
| PCMH primarily governed by | |||
| Physicians | 6 (13.2) | 9 (26.7) | 5 (16.1) |
| A hospital or hospital system | 29 (32.3) | 12 (17.8) | 11 (32.2) |
| Shared physician-hospital governance | 2 (1.6) | 0 (0) | 0 (0) |
| A federally-qualified health center | 16 (29.8) | 17 (27.1) | 7 (16.7) |
| Other | 15 (23.2) | 14 (28.4) | 8 (35.1) |
| The most common source of reimbursement | |||
| Medicare | 5 (7) | 2 (4) | 1 (3.5) |
| Medicaid | 47 (66.5) | 36 (71.9) | 18 (63.3) |
| Safety-net funds | 2 (2.7) | 2 (3) | 2 (11.6) |
| State and local government funds | 5 (9.7) | 9 (17.4) | 4 (17.9) |
| EHR access kept by other providers within PCMH | |||
| Yes | 26 (39.8) | 14 (28.4) | 9 (40.1) |
| No | 28 (60.2) | 25 (71.6) | 13 (59.9) |
| Give other providers within PCMH access to EHR kept by your staff | |||
| Yes | 20 (30.9) | 12 (24.4) | 8 (43.7) |
| No | 34 (69.1) | 26 (75.6) | 14 (56.3) |
| Contractual arrangement with PCMH includes bonuses, penalties or risk-sharing based on overall expenditures | |||
| Yes | 10 (19.5) | 5 (9.1) | 2 (9.7) |
| No | 51 (80.5) | 43 (90.9) | 25 (90.3) |
| Contractual arrangement includes bonuses, penalties, or risk-sharing based on health care quality indicators | |||
| Yes | 11 (25.1) | 3 (7.9) | 3 (11.1) |
| No | 50 (74.9) | 43 (92.1) | 23 (88.9) |