e-CareManagement blog

In Part I of my guest post on The Collaborative Forum blog, I wrote that the Medicare Medical Home Demo is in BIG Trouble. Here’s a recap:

• Political reality dictates that the MMHD must save costs.
• As currently structured, the MMHD cannot achieve cost savings
  • In any given year, only a small percentage of patients account for the vast majority of costs
  • Lessons from previous Medicare disease/care management demonstrations has shown that effective care coordination interventions must be targeted at this population
  • Medicare has structured the MMHD so that any patient with one or more chronic condition is eligible; this includes 86% of all Medicare patients.
  • Physicians will be paid risk-adjusted care coordination fees for this entire population — the 86% of patients with one or more chronic condition.
    The MMHD cannot achieve cost savings. 

Dr. Randy Williams, MD — CEO of Pharos Innovations — has written Part II of this series: The Medicare Medical Home Demonstration: Crawling Out From Under the Rock. It’s insightful and provocative reading!

Related Posts (# comments)

• October 29, 2009 -- Medicare’s Biggest Change in 40 Years on the Horizon? (7)
• June 30, 2010 -- Medicare MAPCP Medical Home Demo: CMS Kicks Sands in the States’ Faces (13)
• November 17, 2009 -- The Real Secret Sauce of Medicare’s Participation in Regional Collaboratives — Network Effects (6)
• August 4, 2009 -- Medicare Medical Home Demo (MMHD) is in BIG Trouble (0)
• February 8, 2009 -- Why Clinical Groupware May Be the Next Big Thing in Health IT (5)