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August Book of the Month

Medical Home Reimbursement Models:
Funding Patient-Centered Care with
Multi-Stakeholder Collaborations

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10% Discount on Medical Home Reimbursement Models There's no question that the healthcare community has embraced the patient-centered medical home (PCMH) model of care. To date, there are 22 multi-stakeholder pilots in 16 states, with eight state Medicare pilots scheduled for 2009. The joint principles of the PCMH have been endorsed by the AMA, AAFP, AAP, ACP and the AOA.

However, with the cost of transforming a physician practice into a medical home estimated at 30 percent over current fee-for-service reimbursement levels, acceptable funding formulas are still needed to cover construction and maintenance of medical homes.

Medical Home Reimbursement Models: Funding Patient-Centered Care with Multi-Stakeholder Collaborations presents three ongoing medical home pilots built on a variety of reimbursement models. This 39-page special report provides an opportunity to evaluate three PCMH financial models and benefit from the experiences of multi-stakeholder collaborations. These case studies reflect early collaborations by Colorado, Ohio and New Hampshire providers, employers and public and private payors to build reimbursement structures that reward providers for care coordination and preventive efforts without adversely impacting healthcare costs.

10% Discount

This report also provides details on the following:

  • Building community and legislative support for medical home initiatives;
  • What public and private payors can learn by participating in multi-stakeholder collaborations;
  • Avoiding the unintended consequences of pay-for-performance models;
  • Benefits of process changes and staff satisfaction that result from medical home implementation;
  • Identifying early "gets" and long-term gains;
  • Value-added services that a public payor/collaborator can provide;
  • The importance of reviewing antitrust regulations;
  • Why it helps to have physicians at the negotiating table;
  • Building a pilot that stands up to evaluation;
  • Importance of ICD-9 coding in risk-adjusted models;
  • and much more.

Order online by August 31, 2009 and receive a 10% discount!

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