UNINSURED RATE REMAINS AT LOWEST EVER RECORDED –
U.S. Uninsured Rate Holds Steady at 13.4%
Premiums grew average of 10% before Affordable Care Act
IS RHETORIC CATCHING UP TO REALITY?
The GOP’s incredible Obamacare disappearing act,
Quality of Care Higher in Medical Homes Compared with Other Practices
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.
From Healthcare.gov
No comments:
Post a Comment