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Employers adopting medical home model

Employers realize that it makes fiscal sense to help improve the health of employees who are the heaviest users of medical services: Almost every major company provides some sort of chronic care program,The New York Times reports. Boeing recently completed a successful medical home pilot and reported a 20 percent reduction in health care costs per member enrolled. But for the programs to work, employees must buy into them; many do not. (The New York Times)

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Medical homes, ACOs, bundling may boost U.S. health care standing

The U.S. comes in at the bottom of the Commonwealth Fund’s ranking of seven industrialized nations’ health care systems. Will the health care reform legislation change that? asks Katherine Hobson in the Wall Street Journal Health Blog. It’s a possibility, says Commonwealth Fund President Karen Davis. Davis is particularly excited about provisions that encourage patient centered medical homes, accountable care organizations and bundled payments, all advocated by the Commonwealth Fund. (Wall Street Journal Health Blog)

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Coding for conversations: Reimbursement for communication may improve care
Should physicians be reimbursed for conversing with patients? The answer may be yes, according to a July article in Health Affairs by Wendy Levinson, MD, chair of the department of medicine at the University of Toronto. In fact, CMS already allows for reimbursement for "complex conversations" that may take up to 25 minutes of a 40 minute visit. Levinson's bottom line: Doctors should be paid more for their conversations with patients--and the result may be improved patient care. (HealthLeaders)
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New Hampshire's Center for Medical Home Improvement will create a National Health Care Transition Center for Youth with Special Health Care Needs. Physicians in Boston, Denver, and Washington, DC will test new methods to improve the hand-off between pediatric and adult primary care, the Associated Press reports. Pediatric offices in each test city will be paired with adult primary care practices. The project will also emphasize that teens need to take responsibility for their own health. (Associated Press, via CNBC)
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Horizon Healthcare Innovations--a new company launched by Horizon Blue Cross Blue Shield of New Jersey--will pay doctors for the quality, not quantity, of care. At the heart of the program is the medical home model. HHI will roll out pilots with family practitioners and others this year, The Record reports. After five years, the program will reach most of BCBSNJ’s 3.8 million members. Compensation will be based on how well providers manage patients with chronic illnesses and help others get appropriate screenings and preventive care. (The Record)
 
By emphasizing patient-centered primary care and chronic disease management, Illinois’ Medicaid program saved $500 million in fiscal years 2008 and 2009, according to Illinois Health Connect, which runs the Medicaid medical home program. IHC adopted a patient centered medical home model for 1.8 million of Illinois’ 2.6 million Medicaid recipients, AAFP News Now reports. Another program, Your Healthcare Plus, focuses on chronic conditions. Together, the programs saved $180 million in FY2008 and $320 million in FY2009. One reason: better access to primary care. (AAFP News Now)
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Dr. Eugene Heslin testifies in support of meaningful use, electronic records 
A Hudson Valley, N.Y., physician testified before Congress in support of meaningful use and talked about bringing medical practices into the 21st century, public radio station WAMC reported. Dr. Eugene Heslin, lead physician at Bridge Street Medical Group in Saugerties, N.Y. and a founding board member of the Taconic Health Information Network and Community (THINC), noted that the most expensive part of adopting meaningful use will be retraining health professionals--but it’s a necessary investment. (WAMC radio)

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MarketVoices…quotes worth reading

 

  

I can tell you that incentives are useful to engage physician interest and offset some of the costs of health IT adoption and meaningful use. Meaningful use has provided a focus to move towards and something to make it happen. Without it, we simply couldn’t get it done.” -Dr. Eugene Heslin, lead physician at Bridge Street Medical Group in Saugerties, N.Y, from testimony to House Ways and Means Committee health subcommittee, (WAMC radio)

 

 

 

 

 

 

 

 

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