Comments on: Medicare’s Biggest Change in 40 Years on the Horizon?

By: christopher parks

christopher parks — Thu, 12 Nov 2009 15:34:15 +0000

Mcare Med Home Demo is officially dead & Multi-Payer Adv Pri Care Init (MAPCI) is embraced [hat-tip @VinceKuraitis ] http://bit.ly/4wB3bT

By: Tom Ogaranko

Tom Ogaranko — Sun, 01 Nov 2009 04:03:24 +0000

Medicare’s Biggest Change in 40 Years on the Horizon?: Earlier this week CMS issued a typically cryptic Announc.. http://bit.ly/3bp1bx

By: Richard Adler

Richard Adler — Fri, 30 Oct 2009 20:16:35 +0000

@vincekuraitis explores Medicare's dumping the Medical Home Demo & launching of Advanced Primary Care Initiative http://tinyurl.com/y8objt8

By: arthurwlane

arthurwlane — Fri, 30 Oct 2009 18:24:07 +0000

Medicare’s Biggest Change in 40 Years on the Horizon? (@VinceKuraitis): http://bit.ly/4wB3bT – A must read #caremgmt #hcmktg

By: Randy Williams

Randy Williams — Fri, 30 Oct 2009 13:13:47 +0000

The analysis offered is helpful and suggests that CMS is transitioning from a large “one size fits all” payer to a regional innovation “participant”. An alternative analysis is that CMS is trying too many things at once, and that without a strong internal champion at CMS, Secretary Sebelius has concluded that “less is more”. In other words, that CMS should leverage existing state innovation structures and efforts where they exist.

I don’t think this should be over read as a global shift, however. There is a strong personal relationship between the Secretary and the Vermont governor, who’s state is one likely to be awarded CMS participation in their Medical Home initiative. Also, CMS is likely to become the recipient of $10 Billion in new funding to form the CMS Innovation Center. What federal employee would want to just give that money away! There will continue to be CMS only innovations; the medical home may not be one of them. But, there are others that may not best be done by regional consortiums.

So, my conclusion is that there was general healthy skepticism of the MMHD from many on the Hill and in the Administration (they probably are all regular readers of this Blog!) and that this was an “easy out”.

By: Liza Sisler

Liza Sisler — Fri, 30 Oct 2009 11:56:10 +0000

Interesting RT @VinceKuraitis Medicare’s Biggest Change in 40 Years on the Horizon? http://bit.ly/1jMV1L #pcmh #HealthReform

By: Vince Kuraitis

Vince Kuraitis — Fri, 30 Oct 2009 00:59:27 +0000

Medicare’s Biggest Change in 40 Years on the Horizon? http://bit.ly/1jMV1L