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