December 7, 2009
Vol. II, No. 15
Free Toolkit Helps Safety Net Providers |
Qualify as Medical Homes
The Primary Care Development Corporation (PCDC) has released a free how-to manual that will help safety net providers become recognized as patient-centered medical homes (PCMH). "Obtaining Patient-Centered Medical Home (PCMH) Recognition: A How-To Manual" was released at the National Association of Community Health Centers' (NACHC) 27th annual conference.
The free toolkit is designed to guide safety net providers through the process of obtaining PPC-PCMH recognition from the National Committee for Quality Assurance (NCQA). It provides a comprehensive project management framework to complete the NCQA survey process, including how to set goals, identify project teams and develop an action plan. The manual also helps users navigate the complex documentation process that provides evidence of a provider's "medical homeness."
The manual was funded by the New York Community Trust and is specifically tailored to fit the unique needs of providers in low-income communities that often lack access to primary care. The manual is available from the PCDC’s Web site: www.pcdcny.org/go/medicalhome
"With more than a 40-year track record providing comprehensive community based primary care to high-risk underserved populations, federally qualified health centers (FQHCs) are America's healthcare homes," said David M. Stevens, M.D., NACHC’s associate medical officer and a member of PCDC’s medical home expert advisory panel. "PCDC’s manual enables health centers both to achieve recognition and to identify ways to strengthen the care they provide to patients and communities."
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United Healthcare's first-of-its-kind Diabetes Health Plan provides patients with financial incentives for adhering to certain routine preventive care compliance requirements such as having regular blood sugar checks, routine exams and preventive screenings, which can result in better self-management of their care. Plan benefits, which can include some free diabetes supplies and diabetes-related prescription drugs, as well as lower co-payments for related doctor visits, can potentially save individuals up to $500 a year in addition to their regular healthcare benefits.
UnitedHealthcare's Diabetes Health Plan and its PCMH programs were recently given a 2009 eValue8 Health Plan Innovation Award by the National Business Coalition on Health (NBCH) for their ability to help enhance healthcare safety and quality while reducing costs. The awards recognize programs that help engage physicians and patients to achieve better health outcomes.
The Diabetes Health Plan is designed to help employers control the escalating costs of insuring diabetic and pre-diabetic employees and their families while improving their health. According to the American Diabetes Association (ADA), one out of every five healthcare dollars is spent caring for someone diagnosed with diabetes, while one in 10 healthcare dollars is attributed directly to diabetes. In addition to helping people live healthier lives, the preventive steps under the Diabetes Health Plan can help significantly lower a diabetic employee's total healthcare costs, which average more than $22,000 a year, according to UnitedHealthcare data.
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Case managers are playing a larger role in the coordination of all phases of patient care, from management of the chronically ill in primary care offices to monitoring hospitalized patients from admission through discharge to overseeing care of residents of long-term care facilities. Complete HIN's Survey of the Month on Healthcare Case Management by January 4, 2010 and receive a free executive summary of the compiled results. Your responses will be kept strictly confidential.
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Healthcare Trends Update: Trends for 2010
As 2009 draws to a close, which products and services served healthcare companies best this year? What were the greatest operational challenges they faced in 2009? Looking ahead, are healthcare organizations more or less optimistic about the 12 months to come? Which aspect of healthcare reform will have the greatest impact on their business, and will there be a new healthcare bill by the new year? This executive summary of responses from 100 healthcare organizations to HIN's November 2009 Healthcare Trends for 2010 e-survey identifies reform priorities, top-of-mind concerns for the year ahead and best and worst business decisions in 2009.
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