Healthcare Performance Benchmarks
Healthcare Performance Benchmarks
September 12, 2012Vol. II. No. 37

Which Reimbursement Models
are Funding the Medical Home?

Which Reimbursement Models are Funding the Medical Home? This Week's Challenge: The patient-centered medical home model has been called a stepping stone to accountable care. The most recent market data from the Healthcare Intelligence Network found that 59 percent of existing medical homes are now or soon will be part of an accountable care organization (ACO). We wanted to see what type of reimbursement model healthcare organizations include in their medical homes.

Click here to view a printable version of the chart.

What We Learned: HIN's sixth annual industry survey on the PCMH, administered in May 2012, linked the rise in medical home starts over the last six years to a steady climb in patient satisfaction. The survey captured data on medical home adoption, staffing, technologies, reimbursement and ROI, and other key medical home metrics. According to 95 healthcare companies who responded to the survey, the types of reimbursement models in place in PCMHs are:

  • FFS plus care coordination fee: 60.9 percent

  • Other: 17.4 percent

  • Episode of care payment: 4.3 percent

  • Condition-specific capitation: 4.3 percent

  • Shared savings: 4.3 percent

  • Full risk capitation: 4.3 percent

  • Pay for performance: 4.3 percent

Missed last week's chart? View Top 5 Targeted Conditions to Reduce Readmissions

Take this month's e-survey: Population Health Management in 2012.

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Download new market research: Accountable Care Organizations in 2012.

Read related blog post: 11 Ways to Engage Consumers in Patient Portals.

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2012 Healthcare Benchmarks: The Patient-Centered Medical Home

Excerpted from 2012 Healthcare Benchmarks: The Patient-Centered Medical Home, now in its sixth year, is designed to meet business and planning needs of physician practices, clinics, health plans, managed care organizations, hospitals and others by providing critical benchmarks in medical home implementation and results.

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