Healthcare is joining the network economy.
Let’s adapt strategy and business models for
success during the upcoming transformation.
by Thomas Wilson, PhD, DrPH and Vince Kuraitis What’s the right metaphor for Medicare Health Support (MHS), CMS’ major experiment with disease management for Medicare beneficiaries? We prefer to look it as a bridge failure that presents an opportunity to improve future engineering and design. We’ve now had the time to read, reread, and reread again [...]
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 [...]
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 [...]
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. [...]
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 [...]
The honeymoon is over. Prior to April 29, 2008, reviews of the Patient Centered Medical Home (PCMH) model had been uniformly enthusiastic and positive. Today the PCMH model is hitting reality — someone’s going to have to bring home money to pay the bills. On April 29 the American Medical Association/Specialty Society RVS Update Committee (RUC) released a report making [...]
Mathematica Research has just released a report: The Evaluation of the Medicare Coordinated Care Demonstration: Findings for the First Two Years. It’s not pretty. Section F of the Executive Summary is entitled “Synthesizing the Findings: What Works, and What Doesn’t”. That section begins: Given that few of the programs have shown convincing evidence to date [...]
We’ve all heard the saying that getting doctors to agree is like herding cats. Well, it’s happening. Four physician organizations representing 330,000 doctors issued a press release voicing their support for Joint Principles of a Patient-Centered Medical Home. The four groups are the American Academy of Family Physicians (AAFP), the American Academy of Pediatrics (AAP), [...]
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