Medical Home Monitor
Medical Home Monitor
November 17, 2008
Vol. I, No. 8

Medical Home Monitor Archives

Medical Home Q&A:
Trends 2009 — Medical Home Pilots

Medical Home Pilots in 2009

Q: How would you describe current medical home pilots?

A: Some states are trying medical homes. The issue is that there is not a common definition of a medical home. The spectrum can run from old primary care capitation, which was somewhat discredited during the 1990s, to a medical home comprised of care provided by a primary care group practice, to a primary care group practice with an IT backbone and EMRs for patients. The most robust definition — and one of the most expensive ones — is a primary care practice with social workers, nutritionists, care managers and others. However, the real conundrum, beyond the definition of medical home, is how to fund it. You have to believe that an investment in medical homes will then reap downstream savings, but someone’s still got to prime the pump to pay the capitation or the fee, pay for the EMR and pay the salaries of the ancillary providers. (David Chin, M.D., a national partner in the Health Industries Advisory Practice of PricewaterhouseCoopers LLP.)

For more healthcare trends and forecasts for 2009, please visit:

Head Start on Medical Homes

With help from the Colorado Medical Home Initiative and a $1.2 million HHS grant, Colorado State University will arm Head Start families in Colorado with information about how to improve their health and to better access healthcare. The culturally sensitive program will educate families in Spanish and English to help parents better understand healthcare, health warning signs, when to take a child to the doctor, and the benefits of nutrition and exercise. Professors working under the grant hope to reduce the number of unnecessary trips to the ER, reduce parent's stress over healthcare, improve the health and well-being of families, reduce medical expenses and reduce the number of parental sick days and days children miss in Head Start.

By working with the Colorado Medical Home Initiative, the group also hopes to increase connections between the healthcare and educational systems that support children and their families.

For more details on this program, please visit:

HealthSounds Podcast: Guided Care vs. PCMH — Enhancing Care for Medicare Beneficiaries with Multiple Chronic Conditions

Dr. Chad Boult, professor of public health, medicine and nursing and director of the Lipitz Center for Integrated Health Care, Johns Hopkins Bloomberg School of Public Health, describes the motivation behind medical home transformation and previews the training and support that his organization will deliver in 2009 to selected medical practices hoping to transform themselves into medical homes and enhance care for Medicare beneficiaries with multiple chronic conditions. He also describes nurses' response to the Guided Care Model.

To listen to this complimentary HIN podcast, please visit:

AMA Endorses PCMH Joint Principles

The AMA has joined the AAFP, AAP, ACP and the AOA in adopting the "Joint Principles of the Patient-Centered Medical Home." The principles include guidelines for the coordination of care to improve the patient-physician relationship, quality and safety, access to care, and the payment model for coordinated services. The AMA will continue to study the patient-centered medical home with particular emphasis on funding sources and payment structures.

To read the joint principles in their entirety, please visit:

The Medical Home: Disruptive Innovation for
a New Primary Care Model

Deloitte Center for Health Solutions examines medical home models, their savings potential and the implications for policymakers and key industry stakeholders. The white paper also offers compelling arguments for medical home adoption.

To download this complimentary white paper, please visit:

Pre-Publication Discount on Medical Home Resource

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

With 22 multi-stakeholder medical home pilots underway in 16 states, your organization might be next. This 35-page special report provides an opportunity to evaluate three emerging PCMH financial models and learn from the experiences of existing multi-stakeholder collaborations. This report describes three ongoing medical home pilots built on a variety of reimbursement models. 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.

Reserve your specially priced copy of this special report by November 25 by visiting:

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