Patient-Centered Medical Home (PCMH)

What Happens When Your EMR Coding Wizard Loses its Magic?

September 11, 2012     Pete Rivera
blog
You cannot make a blanket policy to say that the coding software will be used exclusively. This is like telling a pilot to trust their instruments, although the ground is getting closer and closer.

Facilitating the Patient-Centered Medical Home—On a Grand Scale

September 9, 2012     Mark Hagland
article
In Michigan, Blue Cross Blue Shield of Michigan has implemented and grown a patient-centered medical home initiative that is already the largest in the country, with over 3,000 physicians involved. What David Share, M.D. and his colleagues are learning has strong implications for PCMH development nationwide.

It Takes a (Big) Village: Laying the Foundations for Population Health

August 27, 2012     Mark Hagland
article
With greater policy certainty assured by the Supreme Court’s affirmation of the constitutionality of healthcare reform this summer, industry pioneers are beginning to shape the new healthcare, and moving forward on a broad range of population health-based concepts. The strategic challenges—and opportunities—for healthcare IT leaders can’t be overstated.

Telemedicine: Care Across the Miles

August 23, 2012     John DeGaspari
blog
As technology becomes more pervasive in healthcare, examples of how it is being used effectively to improve care are cropping up everywhere. I came across one example yesterday, during a conference call regarding the announcement by the Centers for Medicare and Medicaid Services regarding the selection of primary care practices to participate in the agency’s Comprehensive Primary Care Initiative.

Sometimes, HIEs Need a Do-Over

August 23, 2012     Jennifer Prestigiacomo
blog
I think Henry Ford articulated it best when he said, "Failure is only the opportunity to begin again, only this time more wisely." We all learn from our mistakes, and I think one area rife with redos and re-tinkering of strategies is the health information exchange (HIE) market.

CMS Takes the Next Step in its Primary Care Practice Initiative

August 22, 2012     John DeGaspari
article
The Center for Medicare and Medicaid Services (CMS) on Aug. 22 announced a roster of 500 primary care practices in seven regions that will participate in its Comprehensive Primary Care Initiative, a public-private partnership to strengthen primary care. The initiative includes participation by CMS, state Medicaid agencies, commercial health plans, self-insured businesses, and primary care providers.

Franchising the Chronic Care Model

August 22, 2012     Jennifer Prestigiacomo
article
After a win with the Atlantic City Special Care Center, the Cambridge Mass.-based Iora Health is replicating its care model of intensive primary care management services, aligned incentives, and actionable analytics, across the country. Iora Health's guiding principle is to target the small group of patients who generate the most healthcare costs, and treat them using a global budget, rather than fee-for-service infrastructure.

Premier Introduces Health Reform Reimbursement App

August 9, 2012    
news
The Premier healthcare alliance has introduced a new app, accessible in its PremierConnect integrated performance platform, which will aim to provide its members with specific estimates of the impact of health reform on their organizations. The app, called ReimbursementFocus, will help members project differences in payment from 2012 to 2019, with and without the policy changes mandated by the Patient Protection and Affordable Care Act (ACA).

Once Again, Massachusetts is at the Front

August 3, 2012     Gabriel Perna
blog
This week was a big one for healthcare in my home state of Massachusetts. Along with announcing the creation of a statewide HIE from CMS funds (making them the first state in the nation to receive federal funding participation approval through CMS to create a HIE), lawmakers from the Commonwealth of Massachusetts passed another landmark bill. Appropriately named the Health Care Cost Control Bill (HCCB), it has a goal of cutting healthcare costs by $200 billion by 2028 by implementing a spending limit.

5 Strategies for Value-Based Care

July 26, 2012     Jennifer Prestigiacomo
article
With the market responding with a number of approaches to value-based care, one provider-led consultancy, Evolent Health (Arlington, Va.), is taking a multi-step approach to helping healthcare organizations prioritize high-risk patients, provide the right intervention and engagement, and align networks to provide economic incentives.

The Journey to the Patient-Centered Medical Home

July 25, 2012     John DeGaspari
blog
At the Healthcare Financial Management Association ANI annual conference last month in Las Vegas, I heard a presentation by Randall Gehle, D.O., about his involvement with helping his medical group make the transition to the patient-centered medical home (PCMH) model. He described the transition process, some of its challenges, and how it has had an impact on his family medicine practice.

What Makes for Primary Care Success? A Team of Researchers Has an Intriguing Answer

July 23, 2012     Mark Hagland
blog
A little-known study published earlier this year in an academic medical journal offers tantalizing clues as to what elements in care delivery can actually lower patient mortality over time. Is it time to work forward to improve care delivery in physician offices?
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