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.

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

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Patient-Centered Primary Care Collaborative: The Patient-Centered Medical Home’s Impact on Cost and Quality, 2016

The Patient-Centered Primary Care Collaborative has published its fifth annual review of the evidence in its 2016 edition of The Patient-Centered Medical Home’s Impact on Cost and Quality.  The report reviews 17 peer-reviewed studies, 4 state government evaluations, 7 industry reports, … Continue reading

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American Medical Association: Guide to Physician-Focused Alternative Payment Models

The American Medical Association and Center for Healthcare Quality and Payment Reform have published this guide to physician-focused alternative payment models.  Alternative payment methods are the broad term being used for payment methods other than fee-for-service.  Under the Medicare Access … Continue reading

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Health Care Payment Learning Action Network: White Paper on Alternative Payment Models

The Health Care Payment Learning Action Network‘s Alternative Payment Model Framework and Progress Monitoring Work Group has released its finalized White Paper/framework on alternative payment models (APMs).  This framework will be considered by the Centers for Medicare and Medicaid Services (CMS) … Continue reading

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Centers for Medicare and Medicaid: Request for Comments on Draft MACRA Quality Measures Development Plan

The Centers for Medicare and Medicaid (CMS) is requesting comment on its draft Quality Measurement Development Plan as part of the continuing implementation of the Medicare Access and CHIP Reauthorization Act (MACRA) enacted earlier this year.  MACRA ended the Sustainable … Continue reading

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Commonwealth Fund and Kaiser Family Foundation: Primary Care Providers’ Views of Recent Trends in Health Care Delivery and Payment

This issue brief from The Commonwealth Fund and the Kaiser Family Foundation reports the results of a national survey of primary care providers (physicians, nurse practitioners, and physician assistants) about their views on recent trends in health care delivery and payment.  Providers’ … Continue reading

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John Snow, Inc.: Opportunities for Whole-Person Care in California

This discussion paper prepared by John Snow, Inc., in collaboration with the California Association of Public Hospitals and California Health Care Safety Net Institute, defines whole-person care as the coordination of health, behavioral health, and social services in a patient-centered manner with the … Continue reading

Posted in Health Care Reform, Health Care Reform: Medical Homes, Health Status Disparities, Patient-Centeredness, Prevention, Social Determinants of Health | Leave a comment

John Snow Inc.: National Approaches to Whole-Person Care in the Safety Net

This discussion paper prepared by John Snow, Inc., in collaboration with the California Association of Public Hospitals and California Health Care Safety Net Institute, defines whole-person care as the coordination of health, behavioral health, and social services in a patient-centered manner with the … Continue reading

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National Committee for Quality Assurance: Future of Patient-Centered Medical Home

The National Committee for Quality Assurance (NCQA) published this discussion paper on the future of the patient-centered medical home (PCMH) in 2014, as it announced revisions to its PCMH recognition standards.  The paper includes a thoughtful assessment of the significant … Continue reading

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Qualis Health: Oral Health An Essential Component of Primary Care

Oral health is essential for healthy development and healthy aging, yet nationwide there is an unacceptably high burden of oral disease. This white paper from Qualis Health makes the case for incorporating preventive oral healthcare as a component of routine … Continue reading

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