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The Washington State Institute for Public Policy's (WSIPP) Board of Directors authorized WSIPP to work on a joint project with the MacArthur Foundation and the Pew Charitable Trusts to extend WSIPP’s benefit-cost analysis to certain health care topics. The “patient-centered medical home” (PCMH) was identified as an important health care topic for states. This study reviews evidence on the effectiveness of patient-centered medical homes in reducing emergency department utilization, hospitalizations, and total medical costs.