December 21, 2009
Vol. II, No. 16
HRSA, CMS to Co-Launch Medicare Medical Home |
Demo for FQHCs
More than 500 federally qualified health centers (FQHCs) are expected to participate in a three-year demonstration to evaluate the impact of advanced primary care on Medicare beneficiaries. The demo, announced earlier this month by President Obama, will be co-managed by the Health Resources and Services Administration (HRSA) and CMS. The demo will evaluate the impact of the advanced primary care practice model on access, quality and cost of care provided to Medicare beneficiaries served by FQHCs, which provide primary and preventive healthcare for the medically underserved.
FQHCs that wish to participate must demonstrate that their clinic sites have the capacity to deliver continuous and coordinated care across providers and settings, including improving access to care by expanding service hours, facilitating referrals and managing medications prescribed by different physicians. Demo sites will receive a monthly care management fee for each Medicare FFS beneficiary they enroll into the demonstration, in addition to payment for other covered Medicare services they provide.
CMS will solicit applications in the spring and launch the demo in January 2011. CMS will conduct an independent evaluation of this demonstration.
Overseen by the HRSA, the FQHC program is a national network of more than 1,100 community, migrant, homeless and public housing health center grantees that provide healthcare at more than 7,500 clinical sites, ranging from large medical facilities to mobile vans. In 2008, health centers served more than 17 million medically underserved people, providing an environment to demonstrate the benefits that medical homes can offer to Medicare beneficiaries.
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HealthSciences Institute will sponsor a new learning collaborative for healthcare organizations who serve individuals at risk of or affected by chronic disease. The collaborative will offer free webinars on key aspects of chronic disease prevention, management and care improvement that will include a brief presentation, ask-the-expert segment, and targeted discussion on the application of new learning to participant job roles. Discussion will continue online between sessions.
The collaborative is part of a new HealthSciences Institute-sponsored Partners in Improvement initiative that will offer free online chronic care improvement resources and tools to healthcare organizations and professionals. Topics planned for the first quarter of 2010 include benchmarking population health programming and disease management expertise, patient activation and a collaborative primary care cardiovascular disease and diabetes program.
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More than 75 healthcare companies have already described how their case managers contribute to care coordination, cost management and quality improvement. 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.
Complete the survey by visiting
Healthcare Trends Update: Medical Homes in 2009
According to a 2004 report in the Annals of Family Medicine, if every American had a medical home, healthcare costs would decrease by 5.6 percent, resulting in national savings of $67 billion per year and improved care. This white paper summarizes the results from HINís Medical Homes in 2009 e-survey, in which more than 220 healthcare organizations described the role of the PCMH in their organizations.
To download this complimentary white paper, please visit:
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ReadmissionsRx LAUNCHING IN JANUARY 2010!
A new monthly e-newsletter delivering strategies to reduce hospital readmissions that encompass care plan development, case management, care transitions, pre- and post discharge planning, medication reconciliation and much more ó with a special focus on reducing rehospitalizations among the Medicare population.
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