Comments on: PCMH and Healthcare Reform: Avoiding Drowning in an Ocean of Opportunity http://e-CareManagement.com/pcmh-and-healthcare-reform-avoiding-drowning-in-an-ocean-of-opportunity/ Chronic Disease Management • Technology • Strategy • Issues and Trends Fri, 11 May 2012 15:46:50 +0000 hourly 1 http://wordpress.org/?v=3.2.1 By: Vince Kuraitis http://e-CareManagement.com/pcmh-and-healthcare-reform-avoiding-drowning-in-an-ocean-of-opportunity/comment-page-1/#comment-12727 Vince Kuraitis Sun, 02 May 2010 17:16:08 +0000 http://e-CareManagement.com/?p=1490#comment-12727 Chris, recent commentary by Dr. Paul Grundy illustrates even more clearly the connection between the PCMH and ACOs... see http://roates.soapware.com/2010/05/following-was-written-by-paul-grundy-m.html Vince Chris, recent commentary by Dr. Paul Grundy illustrates even more clearly the connection between the PCMH and ACOs… see http://roates.soapware.com/2010/05/following-was-written-by-paul-grundy-m.html Vince

]]> By: Chris Langston http://e-CareManagement.com/pcmh-and-healthcare-reform-avoiding-drowning-in-an-ocean-of-opportunity/comment-page-1/#comment-12705 Chris Langston Fri, 30 Apr 2010 00:16:24 +0000 http://e-CareManagement.com/?p=1490#comment-12705 Good post Vince - I think your observation about the Medical Home being a logically implied part of other demonstrations like accountable care organizations is right on. It may be hard to finance and make really simple minded evaluation harder to perform, but it seems like the appropriate thing to test anywhere you are hoping for primary care to play a role in improving outcomes. I think the same relationship should also hold for meaningful use of HIT(which is part of the NCQA criteria for medical home status). Reforming our dysfunctional system is going to be hard and we are going to need to bring a lot of tools and horsepower to the task. Good post Vince – I think your observation about the Medical Home being a logically implied part of other demonstrations like accountable care organizations is right on. It may be hard to finance and make really simple minded evaluation harder to perform, but it seems like the appropriate thing to test anywhere you are hoping for primary care to play a role in improving outcomes. I think the same relationship should also hold for meaningful use of HIT(which is part of the NCQA criteria for medical home status). Reforming our dysfunctional system is going to be hard and we are going to need to bring a lot of tools and horsepower to the task.

]]> By: Devon Devine, J.D. http://e-CareManagement.com/pcmh-and-healthcare-reform-avoiding-drowning-in-an-ocean-of-opportunity/comment-page-1/#comment-12683 Devon Devine, J.D. Thu, 22 Apr 2010 21:02:57 +0000 http://e-CareManagement.com/?p=1490#comment-12683 Two cheers for exuberance in partisan politics. Yesterday in California we got introduced to dueling definitions of PCMH. Well, actually, the definition appears to be the same. As such, it was described as a "pissing match" by the California Academy of Family Physicians, which sponsored one of the bills. The two bills are AB 1542 and SB 966. Two cheers for exuberance in partisan politics. Yesterday in California we got introduced to dueling definitions of PCMH. Well, actually, the definition appears to be the same. As such, it was described as a “pissing match” by the California Academy of Family Physicians, which sponsored one of the bills. The two bills are AB 1542 and SB 966.

]]> By: Vince Kuraitis http://e-CareManagement.com/pcmh-and-healthcare-reform-avoiding-drowning-in-an-ocean-of-opportunity/comment-page-1/#comment-12652 Vince Kuraitis Tue, 13 Apr 2010 02:14:02 +0000 http://e-CareManagement.com/?p=1490#comment-12652 Gregg, I agree that the CMI offers many opportunities for physicians -- particularly primary care physicians. Physicians are key to cost control and they have an opportunity to create a new role in a new delivery system. "Ecstatic" might be a bit strong (these pilots will take time and positive results aren't guaranteed). There are several areas of potential for reform that haven't got caught up in partisan politics -- chronic care, health IT, primary care and the medical home -- let's keep it that way and get to work. V Gregg, I agree that the CMI offers many opportunities for physicians — particularly primary care physicians. Physicians are key to cost control and they have an opportunity to create a new role in a new delivery system. “Ecstatic” might be a bit strong (these pilots will take time and positive results aren’t guaranteed). There are several areas of potential for reform that haven’t got caught up in partisan politics — chronic care, health IT, primary care and the medical home — let’s keep it that way and get to work.

V

]]> By: Gregg Masters http://e-CareManagement.com/pcmh-and-healthcare-reform-avoiding-drowning-in-an-ocean-of-opportunity/comment-page-1/#comment-12649 Gregg Masters Mon, 12 Apr 2010 18:31:24 +0000 http://e-CareManagement.com/?p=1490#comment-12649 Vince, it seems to me that primary care medical practices, particularly those in the direct, or retainer space, should be ecstatic about section 3201 which establishes the Center for Medicare and Medicaid Innovation aka 'CMI', and broadly casts innovation opportunities for both the public and private sectors, including joint ventures. Instead of complaining about a 'government takeover of medicine', now is the time to demonstrate the granular transformation that many believe to be possible based on technology and emerging models of 'patient center primary care medical homes'; not to mention payment reform and alternative forms of practice organization. Thanks again for your hard work in recapping relevant portions of the PPACA! Vince, it seems to me that primary care medical practices, particularly those in the direct, or retainer space, should be ecstatic about section 3201 which establishes the Center for Medicare and Medicaid Innovation aka ‘CMI’, and broadly casts innovation opportunities for both the public and private sectors, including joint ventures. Instead of complaining about a ‘government takeover of medicine’, now is the time to demonstrate the granular transformation that many believe to be possible based on technology and emerging models of ‘patient center primary care medical homes’; not to mention payment reform and alternative forms of practice organization.

Thanks again for your hard work in recapping relevant portions of the PPACA!

]]> By: HPTG, inc. http://e-CareManagement.com/pcmh-and-healthcare-reform-avoiding-drowning-in-an-ocean-of-opportunity/comment-page-1/#comment-13242 HPTG, inc. Thu, 08 Apr 2010 22:03:31 +0000 http://e-CareManagement.com/?p=1490#comment-13242 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">PCMH and Healthcare Reform: Avoiding Drowning in an Ocean of ...: In short, the Secretary of Health and Human S.. http://bit.ly/dk93Yv</span></span> PCMH and Healthcare Reform: Avoiding Drowning in an Ocean of …: In short, the Secretary of Health and Human S.. http://bit.ly/dk93Yv

]]> By: Vince Kuraitis http://e-CareManagement.com/pcmh-and-healthcare-reform-avoiding-drowning-in-an-ocean-of-opportunity/comment-page-1/#comment-13243 Vince Kuraitis Thu, 08 Apr 2010 15:39:23 +0000 http://e-CareManagement.com/?p=1490#comment-13243 <span class="topsy_trackback_comment"><span class="topsy_twitter_username"><span class="topsy_trackback_content">#PCMH and #HealthReform: Avoiding Drowning in an Ocean of Opportunity. Medical Home News http://bit.ly/98PNwR #hcr</span></span> #PCMH and #HealthReform: Avoiding Drowning in an Ocean of Opportunity. Medical Home News http://bit.ly/98PNwR #hcr

]]>