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.
