Evidence map›Paper›PMID 28068138›Full record

ArticleThe American psychologist2017

Payment reform in the patient-centered medical home: Enabling and sustaining integrated behavioral health care.

Benjamin F Miller, Kaile M Ross, Melinda M Davis, Stephen P Melek, Roger Kathol, Patrick Gordon

Open access · greenAbstract read
In one paragraph

Article in The American psychologist, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
22.2field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 82 citations in OpenAlex.

  1. Trial
  2. Psychotherapy for older adults with depression: a narrative review.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Measuring Productivity in Primary Care Behavioral Health: A Delphi Study.Journal of clinical psychology in medical settings · 2022
    Article
  9. Article
  10. Cost Analysis of Integrated Behavioral Health in a Large Primary Care Practice.Journal of clinical psychology in medical settings · 2022
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. The Missed Opportunity of Patient-Centered Medical Homes to Thrive in an Asian Context.International journal of environmental research and public health · 2021
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Benjamin F MillerEugene S. Farley, Jr. Health Policy Center, University of Colorado School of Medicine.
Kaile M RossEugene S. Farley, Jr. Health Policy Center, University of Colorado School of Medicine.
Melinda M DavisDepartment of Family Medicine, Oregon Health and Sciences University.
Stephen P MelekPrincipal & Consulting Actuary, Milliman.
Roger KatholCartesian Solutions.
Patrick GordonAssociate Vice President, Rocky Mountain Health Plans.
Oregon Health & Science University · USUniversity of Colorado Denver · US

Funding

Oregon Patient Centered Outcomes Research K12 ProgramK12HS022981 · AHRQ · OREGON HEALTH & SCIENCE UNIVERSITY · PI GUISE, JEANNE-MARIE · 2014 to 2018
$4.1M
AHRQ HHS K12 HS022981
6 · The paper itself

Abstract

The patient-centered medical home (PCMH) is a promising framework for the redesign of primary care and more recently specialty care. As defined by the Agency for Healthcare Research and Quality, the PCMH framework has 5 attributes: comprehensive care, patient-centered care, coordinated care, accessible services, and quality and safety. Evidence increasingly demonstrates that for the PCMH to best achieve the Triple Aim (improved outcomes, decreased cost, and enhanced patient experience), treatment for behavioral health (including mental health, substance use, and life stressors) must be integrated as a central tenet. However, challenges to implementing the PCMH framework are compounded for real-world practitioners because payment reform rarely happens concurrently. Nowhere is this more evident than in attempts to integrate behavioral health clinicians into primary care. As behavioral health clinicians find opportunities to work in integrated settings, a comprehensive understanding of payment models is integral to the dialogue. This article describes alternatives to the traditional fee for service (FFS) model, including modified FFS, pay for performance, bundled payments, and global payments (i.e., capitation). We suggest that global payment structures provide the best fit to enable and sustain integrated behavioral health clinicians in ways that align with the Triple Aim. Finally, we present recommendations that offer specific, actionable steps to achieve payment reform, complement PCMH, and support integration efforts through policy. (PsycINFO Database Record

Indexed as

Reimbursement, IncentiveFee-for-Service PlansHealth Care ReformHealth PolicyHumansPatient-Centered CarePrimary Health CareUnited States

Identifiers

PMID28068138
PMCPMC7324070
OpenAlexW2569801344

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.