Medical Home Bulletin
  Complimentary from the publishers of Medical Home News                       October, 2018
 
 
  Sponsor Message  
Quote
  “Probably the country I think is doing the best [executing the medical home concept] is Denmark. They really, really, really stress the importance of the longitudinal relationship of trust. Your first day in medical school there—that's their first class. And what's really cool is the whole mechanism of reimbursement enhances coordinating that doctor-patient relationship. A large amount of their income is based on how well they service their patients, and 93.7 percent of all care occurs at the primary care level.”
Paul Grundy, M.D., Director, Accreditation Council for Graduate Medical Education (ACGME); Global Director of Transformation, HealthTeamWorks.
 
Factoid
  "The American Journal of Managed Care (AMJC) just published findings that the NCQA PCMHs saved Medicaid $214.10 per month for HIV patients with diabetes, chronic obstructive pulmonary disease, asthma, congestive heart failure, or behavioral disorders...The savings came from inpatient care ($415.69) and outpatient substance abuse treat-ment reductions ($4.86), despite higher non-HIV pharmacy costs ($158.43)."
 
 
  Excerpted from: Medical Home News, Volume 10 Number 10, October 2018, Editor's Corner: "Medical Homes Work. The Ever-Growing Mountain Of Data Is Bearing That Out." by Paul Cotton.  
Healthshare TV
 
How cutting off subsidy payments to insurance companies would affect Obamacare Understanding the Role of the Patient-Centered Medical Home-September 2018

Dr. Johnson, Vice President for Enterprise Data & Analytics Blue Cross Blue Shield of Kansas City, presented a summary of her study on the BCBS
Kansas City Medical Home Program. Dr. Johnson and participants in the webinar discuss the implications this study has for building a strong primary care foundation and the potential roles that payers have in enhancing financial incentives, reducing adminis-trative burdens, implementing benefit design that promote primary care, and focusing on accountable care agreements that move beyond primary care..

 
 
  Check out HealthshareTV, the home for health care videos     
 
HealthSprocket List
 
  RAND Health Quarterly: 4 Recommendations to sites pursuing PCMH recognition

1. Start small, do not be afraid to fail, and recognize that change takes time.
2. Expect at least some resistance from patients or staff.
3. Continue reading here

Notes: from an article entitled, "Patient-Centered Medical Home Implementation in Indian Health Service Direct Service Facilities," by Justin W. Timbie, Ammarah Mahmud, Christine Buttorff, and Erika Meza.

Source: RAND Health Quarterly, October 11, 2018
 
     
 
This Month in Medical Home News
 
  • Younger Patients are Ditching Primary Care Physicians, Data Show by Sandra G. Boodman:
  • Do Medical Homes Actually Drive Up ER Usage? by Tara Kiran, M.D., Rahim Moineddin and Alexander Kopp, et. al.
  • Editor’s Corner: Paul Cotton on the Overall Financial Efficacy of Medical Homes
  • Medical Home Quotes
  • Industry News with briefs regarding: HRSA, University of Texas at San Antonio, MGMA
  • Catching Up With ... Paul Grundy, M.D.
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