Thursday, June 5, 2014

Uninsured rate at lowest ever +

U.S. Uninsured Rate Holds Steady at 13.4%

Premiums grew average of 10% before Affordable Care Act

The GOP’s incredible Obamacare disappearing act,

Quality of Care Higher in Medical Homes Compared with Other Practices

Patient-Centered Medical Homes: The Promise and The Reality


This was a program I attended


Key takeaways:
  • 61 percent of studies that reported costs saw cost reductions after PCMH implementation, Amy Gibson stated. However, medical homes vary because they serve different populations and have access to different resources and skill sets within their communities. She went on to say that PCMHs are incompatible with fee-for-service because incentives are currently aligned with volume of care instead of value.
  • The Center for Medicare & Medicaid Innovation (CMMI) seeks to engage multiple payers in its Comprehensive Primary Care Initiative (CPC), Pauline Lapin said. There are already 2.6 million active patients, and 2.3 million are impaneled to CPC providers.
  • The PCMH model focuses on payment innovation, provider empowerment, population health and personalized care, Amy Cheslock emphasized. In Colorado, WellPoint found that through a medical home pilot it could achieve 18 percent fewer hospital admissions, and 15 percent fewer ER visits.
  • Cheslock went on to describe a new contract for primary care physicians where the insurer pays a PMPM, or per-member per-month fee, to cover costs that are not traditionally paid for in the fee-for-service model. PMPM payments are also larger for higher-risk patients.
  • At Summit Family Physicians, becoming a PCMH reduced hospital visits by 160 patients in one year, but office expenses increased by 19 percent, Mark Frazer said. There is currently a shortage of primary care physicians, which can be addressed by improving reimbursement for care management.

Graduating from college? Here are 4 ways to get health coverage 



UnitedHealth Group Raises Dividend By 34 Percent 



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