In a recently released issue of Pediatrics, Dr. Elizabeth Enlow and colleagues ( 10.1542/peds.2017-0339) looked at the very basic and endlessly fascinating topic of Continuity of Care (CoC). CoC has long been considered meaningful to both families and providers because it has been shown to increase satisfaction with care for both parties. 1-4 As Dr. Enlow and colleagues note, the question of whether increased CoC is causally related to improved outcomes has become even more important because the PPACA (Patient Protection and Affordable Care Act, also known as Obamacare) incentivizes the Medical Home by increasing funding to qualified centers. Does a Medical Home make a difference? Answering this question is difficult given the many potential confounders from sociodemographic qualities of families to organizational qualities of providers, as well as the challenge of selecting meaningful outcome measures (acute hospitalizations versus efficiency of screening for health conditions like anemia). We now can and should stand on the rooftops and shout out a resounding “Yes!” after reading this article. Medical Homes can save money, and economic data may be key to saving the PPACA, or at least its provisions that protect the most vulnerable citizens.
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