Medical Home Monitor
Medical Home Monitor
July 21, 2008
Vol. I, No. 4

Medical Home Monitor Archives

Medical Home Q&A:
Funding the Medical Home

Medical Home Monitor

Q: How does an organization obtain additional funding for the advanced medical home activities?

A: At UnitedHealthcare, Colorado was recently awarded an Improving Performance in Practice grant. They’ve been doing some great work — primarily in the Denver metropolitan area — working with practices directly. That example illustrates the opportunity to secure grant dollars through sources like the American Board of Medical Specialties and the Robert Wood Johnson Foundation, as well as other possible grant funders, to enable practice support. Managed care organization commitments vary regarding enabling practice support. We’re proposing to offer technology solutions to practices that would be free of charge to them. For example, we’ll load the registry with our data for them if they don’t have one. Beyond that, however, organizations should explore grant opportunities or piggyback on other efforts. (Dawn Bazarko is senior vice president of clinical innovations for UnitedHealthcare.)

For more information on this topic, please visit:

Eight State Medicaid Teams Meeting to
Advance PCMH Model

Eight state Medicaid teams will meet in Washington, D.C. this week to help accelerate implementation of the patient-centered medical home (PCMH) model into state Medicaid programs. Leading-edge teams from Colorado, Minnesota, New Hampshire, Oklahoma, Washington, Idaho, Louisiana and Oregon will share information from current medical home demonstrations and policy developments with other teams in a collaborative setting. The eight teams were chosen from more than 30 applicants to attend the invitation-only summit, which is a joint initiative of the Patient Centered Primary Care Collaborative and National Academy for State Health Policy.

For more details on the summit, please visit:

Pre-publication Discount to an Online Guide to Medical Home Pilots and Projects

The Online Guide to Medical Home Pilots and Projects, a new online service from the Healthcare Intelligence Network, will help you identify and connect with the numerous medical home pilots and projects being developed across the United States. Save 20 percent when you order by July 25, 2008. This directory will be available on August 11, 2008. Get online access to a directory of medical home pilots and projects with key information such as sponsoring organizations, key executives, populations and geographic regions served, program launch date and links to additional online information on the program.

Reserve your link today at:

HealthSounds Podcast: Medical Home Can Put Patients on Path to Self-Management

For optimum efficiency and results, the patient's self-management must be linked to a broader aspect of the physician's office and the medical home it provides. Involving physicians and nurses in an initiative that teaches patients how to manage their own care may initially increase the demand on an already overtaxed primary care system, says Christopher Wise, administrative director of the Medical Management Center at the University of Michigan (U-M) Health System. But ultimately, the patient who better understands the intricacies of their disease and care alternatives will have fewer reasons to access primary care. In U-M's model, social workers and nurses familiar with U-M health services function as health navigators, helping the chronically ill find their way through the system.

To listen to this complimentary HIN podcast, please visit:

Doctors in CIGNA/Dartmouth-Hitchcock Medical Home Program To Be Paid More for Care Coordination

Primary care providers affiliated with the new CIGNA/Dartmouth-Hitchcock Medical Home program will be paid for the medical services they provide, reimbursed an additional amount for enhanced services such as care management they provide and be rewarded through a PFP structure for improving quality and appropriate healthcare. Dr. Dick Salmon, national medical director for CIGNA and a PCP himself, said that emphasizing the value of the PCP as the overall coordinator of the health of their patients will help increase professional satisfaction and financial rewards for doctors who practice in primary care.

Dartmouth-Hitchcock is part of a CMS Group Physician Practice demonstration project to develop the necessary capabilities to participate in this pilot, including case management, enhanced access and information-driven care. Dartmouth-Hitchcock is also applying for the NCQA Patient-Centered Medical Home designation.

For more information, please visit:

Prescription for Primary Care: Initiatives for Change

There are rumblings about the state of primary care at each stage in the healthcare continuum: hospitals and health plans want PCPs to accept a larger role in DM and care transitions, including patient education and follow-up. Meanwhile, PCPs struggle to provide quality care and devote adequate time to patients in the face of reduced reimbursements and increased reporting. In a recent online survey, 139 healthcare organizations told the HIN how they are affected by the state of primary care and how they handle the deficiencies.

To download this complimentary white paper, please visit:

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