Cost Of Offering Medical Home Services: $30,991 In Initial Transformation & $147,573 In Maintenance
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The median one-time cost for primary care practices to develop the infrastructure to become patient-centered medical homes (PCMH) is $30,991, and the median annual cost to maintain the PCMH is $147,573. The costs include salaries for additional personnel and technology investments. Care management activities accounted for over 60% of practices' transformation-associated costs.
These findings were reported in “Cost of Transformation Among Primary Care Practices Participating in a Medical Home Pilot” by Grant R. Martsolf , Ryan Kandrack, Robert A. Gabbay, and Mark W. Friedberg. The authors analyzed cost data and interviewed practice leaders from 12 . . .

