Category Archives: Health Care Reform: Medical Homes

A Promising Model to Advance Patient-Centeredness and Equity in Health Care

One of the emerging models of health care delivery system re-design is the concept of a “medical home”. In 2007, the American Academy of Family Practice, American Academy of Pediatrics, American College of Physicians and American Osteopathic Association issued a Joint Principles defining patient-centered medical homes.

While the specific terminology and elements of a medical home (also being called a “health care home”, “primary care home” or “advanced primary care practice”) vary, the core idea is that everyone should have a partnership with a primary care provider who will provide access to comprehensive, coordinated, high quality health care.

Medical homes will be given a huge catalyst with the imminent widespread adoption of health information technology by physician practices, community health centers and hospitals.

I have compiled some key analyses and background resources on the concept of medical homes.

Center for Health Care Strategies: Medicaid Health Homes – Initial Considerations

This technical assistance brief from the Center for Health Care Strategies discusses some initial considerations for states seeking to implement health homes under section 27o3 of the Patient Protection and Affordable Care Act: 1. Leverage existing resources. 2. Build in … Continue reading

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Centers for Medicare & Medicaid Services: Presentation on Affordable Care Act Section 2703 Health Homes

Here is a useful summary of the Medicaid health homes authorized by section 2703 of the Patient Protection and Affordable Care Act from the Centers for Medicare & Medicaid Services. States may seek 90% federal funding for eight quarters (two … Continue reading

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Better to Best: Value-Driving Elements of the Patient-Centered Medical Home and Accountable Care Organizations

This is a report from a convening in September 201o sponsored by The Commonwealth Fund, Dartmouth Institute for Health Policy and Clinical Practice, and Patient-Centered Primary Care Collaborative and funded by Pfizer.  The report was prepared by Health2 Resources and … Continue reading

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Institute of Medicine: The Patient-Centered Medical Home: A Path Toward Health Equity?

This discussion paper from participants in the Institute of Medicine Roundtable on the Promotion of Health Equity and the Elimination of Health Disparities raises the question of whether the patient-centered medical home model adequately addresses the social determinants of health … Continue reading

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What My Father Taught Me About Health and Health Care, About Life and Death

Three months ago, my father Andrew Shih Lun Bau passed away, peacefully, in his own home.  Next week, on Christmas Day, we would have celebrated his 93rd birthday. As someone who now seeks to improve both health and health care … Continue reading

Posted in Health Care Reform, Health Care Reform: Medical Homes, Health Information Technology, Language Access, Language Access: Best Practices, Patient-Centeredness, The iBau Blog | 24 Comments

HHS Advisory Committee on Minority Health: Recommendations for Health Insurance Exchanges

The following was my presentation to the U.S. Department of Health and Human Services Advisory Committee on Minority Health on November 29, 2012 regarding the implementation of health insurance exchanges and other national health care reforms.

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Connecticut Health Foundation: Person-Centered Medical Homes and Health Equity

The Connecticut Health Foundation has three new publications on the implementation of person-centered medical homes and the relationship to health equity: A policy brief that describes how medical practices seeking to achieve recognition as a medical home can simultaneously advance … Continue reading

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Blue Shield of California Foundation: Patient-Provider Relationships Among Low-Income Califorians

The Blue Shield of California Foundation has published the results of its survey of low-income Californians and their perspectives on connectedness and continuity with their health care providers. •    Low-income patients broadly report that they want their care to be … Continue reading

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Commonwealth Fund: Role of Shared Support Networks for Physician Practices

This report from the Center for Health Care Strategies, funded by The Commonwealth Fund, describes how independent physician practices can share support networks as they implement quality improvement and practice transformation activities, especially through the Medicaid program. By definition as … Continue reading

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Center for Health Care Strategies: Creating Physician-Support Entitites in Medicaid

This policy brief from the Center for Health Care Strategies recommends the funding and support of physician support entities through the Medicaid program.  With Medicaid poised to absorb 16 to 20 million additional beneficiaries in 2014 as a result of the … Continue reading

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