Faced with a marketplace shifting to outcomes-based payment, Adventist Healthcare decided to launch a pilot in a patient-centered medical home. And it began with its own employees.

James Lee, executive vice president and CFO at Adventist, described the I.T.-centric effort at the HFMA annual conference--offering hard data about its success. Costs for PCMH members enrolled in the pilot declined 14% from 2010 to 2011, Lee noted, adding that the program is now being expanded to a broader group of employees.

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