Contents tagged with patient-centered medical home
Register for November medical home conference hosted by MGMA and TransforMed
The concept of the patient-centered medical home, or PCMH, continues to evolve. The Medical Group … more
Large or small, new tools help transform practices into patient-centered medical homes
Small and solo physician practices are able to successfully incorporate the tenets of the … more
By David W. Bauer, M.D.
When is a patient-centered medical home not a patient-centered medical home? In my practice, the answer is “every day.” In 2009 we received NCQA’s designation as a Level 3 PCMH. To achieve this, our physicians had to document ways in which our patients had enhanced access to our practice, provide examples of how we use evidence-based guidelines to provide quality care, demonstrate the means by which we coordinated care across time and space, and a number of other measures. We do, in fact, do those things every day. What we don’t do, is do all of them for every single patient, every single day.
Consider the analogy of a patient with diabetes whose hemoglobin A1c is 6.9. We would say that the patient’s diabetes is well controlled and congratulate the patient. But there are many ways that a patient could achieve this value. One would be to have very little fluctuation of her glucose from hour to hour. Another would be for the patient to drop into the 40s overnight, and climb to 200 immediately after meals. The hemoglobin A1c is an average, and doesn’t factor in variation. For years, decreasing variation has been the mantra of those working to improve quality, increase efficiency, and decrease medical errors in the hospital setting. As we migrate toward a new model of health care in this country—the PCMH—it would be valuable to embrace this concept in our offices as well.more
WellPoint, the country’s second-largest health insurance company, is the latest industry leader investing significant funds into the patient-centered medical home. And while none of their 34 million enrollees are Texans, this still adds weight to the argument that spending more for primary care—upwards of $1 billion—will save money down the road.
Starting this summer, WellPoint will pay primary care physicians more through an increase to their fee-for-service schedule of around 10 percent, by paying them for “non-visit” services currently not reimbursed (like preparing care plans for patients with multiple chronic conditions), and through shared savings payments for achieving quality outcomes and reducing medical costs. Meeting the shared savings goals alone could make a practice eligible to earn 30 to 50 percent more than they earn now for the same service.
In addition to paying primary care physicians more, the company will enhance “information sharing,” provide care management support from WellPoint’s clinical staff, and incorporate best practices from their medical home pilots, the company said in a press release. In return, the physicians would have to meet additional requirements including expanded access for patients and maintaining a chronic disease registry.more
Patient-centered medical home
Watch “Family physicians embracing change”
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Accountable care organizations
Interested in transitioning your practice into an accountable care organization? This page includes information on the transition … more
Plano practice receives NCQA medical home certification
Add another achievement to an already decorated practice led by TAFP members Christopher Crow, M.D., M.B.A., and Sander … more
TransforMed rolls out new product to support solo, small practices
TransforMed, a wholly owned subsidiary of the AAFP, has launched a new service that offers small primary care practices the help … more
Payment expert links medical home to reducing hospital readmissions
Physician pay should reflect savings gained by avoiding excessive procedures
By James Arvantes, AAFP News Now
Patient-centered … more
Opening up your schedule
How to switch your practice to open-access scheduling
By Gail Jones
As the push for the medical home and the ability for patients to see the provider that they want … more