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.

Fenway Institute: Building Patient-Centered Medical Homes for Lesbian, Gay, Bisexual, and Transgender Patients and Families

This issue brief published by the National LGBT Health Education Center of the Fenway Institute uses the framework of a patient-centered medical home (PCMH) to improve health care and health outcomes for lesbian, gay, bisexual, and transgender (LGBT) patients and … Continue reading

Posted in Author, Health Care Reform, Health Care Reform: Medical Homes, Lesbian, Gay, Bisexual and Transgender Health, Patient-Centeredness | Leave a comment

American Medical Association: Action Kit on MACRA Proposed Rule

The American Medical Association (AMA) has published an “Action Kit” summarizing the proposed rule implementing the Medicare Access and CHIP Reauthorization Act (MACRA) and highlighting its preliminary comments and recommendations for changes to the proposed rule. Among the issues that the … Continue reading

Posted in Health Care Reform, Health Care Reform: Accountable Care Organizations, Health Care Reform: Medical Homes, Health Care Reform: Payment Reform, Health Care Reform: Quality Improvement, Health Information Technology, Health Information Technology: Meaningful Use | Leave a comment

Centers for Medicare and Medicaid Services: Additional Resources on MACRA Proposed Rule

The Centers for Medicare and Medicaid Services (CMS) has made available two additional resources about its proposed rule implementing the Medicare Access and CHIP Reauthorization Act (MACRA).  The first resource is a set of slides describing the proposed rule. Link to Original … Continue reading

Posted in Health Care Reform, Health Care Reform: Accountable Care Organizations, Health Care Reform: Medical Homes, Health Care Reform: Payment Reform, Health Care Reform: Quality Improvement, Health Information Technology, Health Information Technology: Meaningful Use | Leave a comment

Centers for Medicare and Medicaid Services: List of Alternative Payment Models (APMs) under MACRA Proposed Rule

Buried deep (on pages 501-502) in the 900+ page pre-publication version of the Centers for Medicare and Medicaid Services (CMS) proposed rule implementing the Medicare Access and CHIP Reauthorization Act (MACRA) is Table 32, which lists current Alternative Payment Models (APMs) … Continue reading

Posted in Health Care Reform, Health Care Reform: Accountable Care Organizations, Health Care Reform: Medical Homes, Health Care Reform: Payment Reform, Health Care Reform: Quality Improvement | Leave a comment

Centers for Medicare and Medicaid Services: Fact Sheet on MACRA Proposed Regulations

The Centers for Medicare and Medicaid Services has published this useful summary of its proposed rule implementing the Medicare Access and CHIP Reauthorization Act (MACRA): Link to Original Source

Posted in Health Care Reform, Health Care Reform: Accountable Care Organizations, Health Care Reform: Medical Homes, Health Care Reform: Payment Reform, Health Care Reform: Quality Improvement, Health Information Technology, Health Information Technology: Meaningful Use | Leave a comment

Centers for Medicare and Medicaid Services: Proposed Rule to Implement Medicare Access and CHIP Reauthorization Act (MACRA)

The Centers for Medicare and Medicaid Services (CMS) has published its much-anticipated proposed rule to implement the Medicare Access and Childrens’ Health Insurance Program (CHIP) Reauthorization Act (MACRA), which replaces the Sustainable Growth Rate formula for how fee-for-service or traditional Medicare … Continue reading

Posted in Health Care Reform, Health Care Reform: Accountable Care Organizations, Health Care Reform: Medical Homes, Health Care Reform: Payment Reform, Health Care Reform: Quality Improvement, Health Information Technology, Health Information Technology: Meaningful Use | Leave a comment

RWJF-Health Affairs Policy Brief: Medicare’s New Physician Payment System

This Health Affairs-Robert Wood Johnson Foundation policy brief describes the key issues  for implementing the new Medicare physician payment system under the 2015 Medicare Access and Children’s Health Insurance Program (CHIP) Reauthorization Act (MACRA). In 2014, Medicare paid physicians and … Continue reading

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Covered California: Quality Improvement Requirements for Qualified Health Plans for 2017-2019

Covered California, the state health insurance marketplace, has adopted strengthened quality reporting and improvement requirements for qualified health plans (QHPs) seeking to sell health insurance through the California marketplace for 2017 through 2019.   The contractual requirements include: QHPs will ensure all … Continue reading

Posted in Health Care Reform, Health Care Reform: Accountable Care Organizations, Health Care Reform: Advancing Equity, Health Care Reform: Medical Homes, Health Care Reform: Payment Reform, Health Care Reform: Quality Improvement | Leave a comment

Institute of Medicine: Achieving Health Equity via the Affordable Care Act

The Institute of Medicine (IOM) Roundtable on the Promotion of Health Equity and the Elimination of Health Disparities has published a summary of a 2013 workshop on achieving health equity via the Affordable Care Act. Here is the agenda for the workshop: … Continue reading

Posted in Health Care Disparities, Health Care Disparities: Stakeholders Engaged, Health Care Reform, Health Care Reform: Advancing Equity, Health Care Reform: Medical Homes, Health Workforce Diversity, Ignatius Bau: Presentations, Presenter | 2 Comments

Centers for Medicare and Medicaid Services and America’s Health Insurance Plans: Core Quality Measure Sets

The Centers for Medicare and Medicaid Services (CMS) and America’s Health Insurance Plans (AHIP), as part of a broad collaborative of health care system participants, has released seven sets of clinical quality measures that support multi-payer alignment on core measures for physician quality … Continue reading

Posted in Health Care Reform, Health Care Reform: Accountable Care Organizations, Health Care Reform: Medical Homes, Health Care Reform: Payment Reform, Health Care Reform: Quality Improvement | Leave a comment