The patient-centered medical home (PCMH) has become a hallmark of healthcare delivery. Its team-based model is a mainstay of care coordination for thousands of physician practices that have already transformed themselves into medical homes many of which are poised to step into an accountable care organization (ACO), according to 2012 market data.
In a nod to the PCMH's potential for improving care and controlling cost, many payors have placed case managers in medical homes to assist with stratification and care coordination of high-risk patients.
Guide to the Patient-Centered Medical Home: Metrics, Models and Engagement provides an overview of PCMH adoption and results and examines nuances of the model that have emerged in recent years including the embedding of case managers on medical home teams.
Download a preview of the Guide to the Patient-Centered Medical Home: Metrics, Models and Engagement.
Besides a complete set of benchmarks from almost 100 organizations on medical home adoption and program components, HIN's sixth annual PCMH analysis, this 155-page guide offers snapshots of thriving medical home programs, including the following:
- The statewide rollout of Florida Blue's medical home program, from practice selection to reimbursement models;
- The comprehensive PCMH consumer engagement and education effort underway at Horizon Blue Cross Blue Shield of New Jersey to position the Blues plan for accountable care;
- Advice on achieving Level III NCQA medical home recognition, joining an ACO, and participating in the CMS Comprehensive Primary Care initiative from Hunterdon Healthcare;
- Roadmap to the embedding of case managers: Geisinger Health Plan's selection, training, skill set, processes and benefits of case managers embedded within the payor's medical home practices, a model that has become an industry template for co-located case management.
Answers to almost 50 critical FAQs are provided.
Chapter 1: 2012 Benchmarks in the Patient-Centered Medical Home
Chapter 2: New Models in the Patient-Centered Medical Home
Chapter 3:The Medical Home Case Manager
The trends and best practices documented in the Guide to the Patient-Centered Medical Home: Metrics, Models and Engagement will help healthcare organizations to raise the bar on care coordination and population health management of high-risk patients and high-cost events.