July 21, 2008
Vol. I, No. 4
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.
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.
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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.
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