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Search Results: "Medical Home"

Disruption in the Neighborhood? The PCs Build the Medical Home.

There’s a new house being built in the vacant lot across the street.  It’s the medical home, and it is going to be occupied by several primary care physician families (PCs).

From what’s been said, the PCs are nice folks and will make good neighbors.  They’re friendly, many are Episcopalian, they like white picket fences, and they have barbeques on Sunday afternoons. The neighborhood they’re coming from is not as well off nor as pristine — they’re said to be suffering from […]

Empowering Health IT for the Medical Home

by David C. Kibbe, MD MBA

The basic premise of the medical home concept is continuous, uninterrupted care that is managed and coordinated by a personal provider with the right tools that will lead to better health outcomes.

In 2007, the American Academy of Family Physicians, American Academy of Pediatrics, American College of Physicians, and American Osteopathic Association, released the Joint Principles of the Patient-Centered Medical Home. In this document they state the characteristics of the Patient Centered Medical Home:

Personal Relationship
Team Approach
Comprehensive
Coordination
Quality […]

Finally! CMS Provides a Flood of Details About the Medicare Medical Home Demo

I’ve been critical in the past when CMS has been silent in explaining their thinking, so I’ll start this post by congratulating CMS on sharing a flood of details about the upcoming Medicare Medical Home Demonstration project.

An email from CMS arrived in my inbox this morning at 2 am.  That email notified me that they have updated the MMHD homepage .  A quick click lead me to 8 new documents containing 155 pages of newly available details on the MMHD.

If you have time to read […]

Implementing a Medical Home — Akin to Do-It-Yourself Brain Surgery?

This morning the Disease Management Care Blog brought an interesting toolkit to my attention. It was published by AHRQ in August 2008, so it’s very recent.

This toolkit describes how to implement the Chronic Care Model (CCM) in your medical practice. The CCM is embedded in the Patient Centered Medical Home (PCMH) model and can be consider a foundational element of the PCMH.

I would call this toolkit “The Medical Home for Dummies, Vol. I”, but then I’m sure the Dummies […]

Details “Emerge” on the Medicare Medical Home Demonstration

Where would one expect to find CMS’ latest thinking on the upcoming Medicare Medical Home Demonstration project? The obvious answer would be “on the Official CMS MMHD home page ”, but you’d be wrong.

CMS has issued a Medicare Medical Home Demonstration Payment Contractor RFP available on the Federal Business Opportunities website. Thanks to the Google Alert service for digging this out.

For the casual reader, the details of the MMHD are taking shape nicely. CMS and its advisors have obviously […]

Medical Home PowerPoint and Latest Perspectives

Last week my esteemed colleague Dr. Jaan Sidorov and I conducted a webinar for WRG on Patient Centered Medical Home (PCMH) developments.

The process of updating a PowerPoint forces one to collect one’s thoughts, and I’m glad to share with you the PowerPoint slides along with a few highlights about the evolution of the PCMH. The highlights:

Medical Home Webinar

On behalf of World Research Group, Dr. Jaan Sidorov and I will be conducting a webinar —

Patient-Centered Medical Home Model: Overview and Update.

The webinar takes place next Monday, July 28 at 12 Eastern. Click here for details. Hope you can join us.

AHIP “Adopts” Medical Home Principles: Huh?

On the surface, you might think that a press release issued by America’s Health Insurance Plans (AHIP) adopting principles for a patient centered medical home (PCMH) would advance the cause.

But, look further…

The principles endorsed by AHIP only vaguely resemble the Joint Principles of the PCMH endorsed by 4 major primary care physician groups . These groups represent over 300,000 physicians. (See below for a summary listings of AHIP and physicians’ principles supporting the PCMH).

Why?

Why didn’t AHIP didn’t just endorse the […]

The Medical Home: Pull the RUC Out

This third and final post in the series addresses questions about the future of the Patient Centered Medical Home (PCHM):

What’s problematic about using the RUC methodology with the PCMH?
What’s the optimal level for a PCMH care management fee?
Should primary care leaders pull the RUC out? How?

What’s Problematic About Using the RUC Methodology with the PCMH?

There are at least two reasons for not having the RUC methodology seen anywhere in the same county country as the PCMH. First, the RUC methodology doesn’t […]

The Medical Home Hits the RUC

Today’s post (#2 in a series) tackles several questions:

What is the American Medical Association/Specialty Society RVS Update Committee (RUC)?
What is the RUC’s role in the Medicare Medical Home Demonstration project?
How are people reacting to RUC recommendations for PCMH reimbursement levels?

What is the American Medical Association/Specialty Society RVS Update Committee (RUC)?

The AMA formed the RUC to act as an expert panel in making recommendations to CMS on the relative values of Current Procedural Terminology (CPT) codes using the Resource Based Relative Value […]