Publications by authors named "Katherine D Giuriceo"
Importance: The Johns Hopkins Community Health Partnership was created to improve care coordination across the continuum in East Baltimore, Maryland.
Objective: To determine whether the Johns Hopkins Community Health Partnership (J-CHiP) was associated with improved outcomes and lower spending.
Design, Setting, And Participants: Nonrandomized acute care intervention (ACI) and community intervention (CI) Medicare and Medicaid participants were analyzed in a quality improvement study using difference-in-differences designs with propensity score-weighted and matched comparison groups.
Article Synopsis
- Previous studies had conflicting results on whether patients receiving care from federally qualified health centers (FQHCs) used healthcare differently than those who did not.
- The study compared Medicare beneficiaries who primarily visited FQHCs with a large group of beneficiaries who received care elsewhere, analyzing their healthcare utilization patterns in 2013.
- The findings indicated that FQHC users had fewer visits to primary care or specialists but more emergency department visits, with hospitalization rates remaining similar between the two groups.
Article Synopsis
- Patient-centered medical home (PCMH) models in federally qualified health centers (FQHCs) can enhance access to care, improve health outcomes, and reduce costs for Medicare beneficiaries.
- A study analyzed 804 FQHCs and over 231,000 Medicare beneficiaries, finding that most FQHCs had varying levels of PCMH capabilities, which correlated with increased outpatient visits but also more specialist and emergency department visits.
- Advanced PCMH sites resulted in higher overall Medicare spending but no increase in hospital admissions, highlighting the need for balancing accessibility with cost considerations in primary care.