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Month in Review: March Gladness | Plus National Briefing on Behavioral Health Integration Today!
March Gladness
Thursday, March 27th
Dear Members & Friends:

Promising new results from Independence Blue Cross were just released in the Journal of Managed Care showing that patient-centered medical homes can better serve chronically ill patients. With 5 percent of the population accounting for nearly half of all health costs, the PCPCC believes it is important to target those who are determined to be most at-risk, especially for interventions intended to reduce costs. Read more here.

In other news, integrating behavioral health into primary care is this month’s theme, dovetailing with the recent Annals of Family Medicine release of  the Joint Principles for Integrating Behavioral Health Care into the PCMH. A longtime supporter of behavioral and mental health integration into primary care, the PCPCC expressed our strong support of this critical component of the PCMH in our September 2013 letter to the Senate Finance Committee. In a forthcoming Annals article, we will also be voicing our support for an increased focus on behavioral and mental health integration into the medical home as part of the recognition and certification process, so stay tuned!

To discuss the real and perceived obstacles to sharing data between behavioral health and primary care providers, we hope you'll join us for our Monthly National Briefing today: Overcoming Barriers to Collaboration Among Behavioral Health and Primary Care Providers presented by Dayna Matthew, JD, Professor/Associate Dean at University of Colorado Law School.   

* As a reminder, our National Briefings now take place via webinar and require registration.

National Briefing Information:
New Time: March, 27 | 12PM ET - 1PM ET
Register (for free!) here.
Download presentation slides here.

Sincerely,


Marci Nielsen, PhD, MPH
Chief Executive Officer
This Month in Medical Home News....
Newspapers & Press
Don't Rush to Judgement: Medical Homes Can Improve Outcomes, Save Lives, Huffington Post, 03/20/2014
Minnesota's 'Health Care Homes' Aim to Fill Gaps in Support for Late-In-Life Patients, Minn Post, 03/19/2014
Reform Update: NCQA Previews New Medical Home Standards, Modern Healthcare, 03/10/2014
Patient-Centered Medical Homes - the Latest Research Findings: Commentary from BCBSM, Blue Cross Blue Shield of Michigan, 03/06/2014
"Practical Playbook" Initiative Heralds a New Era for Population Health, Wing of Zock, 03/05/2014
A Radical Rethinking of Primary Care That Could Make Everyone Healthier, National Journal, 03/04/2014
PCMH Model not yet Delivering on Promise, Medical Economics, 03/04/2014
Compromise 'Doc Fix' Bill Scored by CBO, The Commonwealth Fund, 03/03/2014
Medical Home Success Story Runs Counter to Study Findings, FierceHealthcare, 02/28/2014

Peer Review
Medical Homes and Cost and Utilization Among High-Risk Patients, American Journal of Managed Care, 03/24/2014
Value-Based Financially Sustainable Behavioral Health Components in Patient-Centered Medical Homes, Annals of Family Medicine, 03/2014
The Development of Joint Principles: Integrating Behavioral Health Care Into the Patient-Centered Medical Home, Annals of Family Medicine, 03/2014
The 10 Building Blocks of High-Performing Primary Care, Annals of Family Medicine, 01/2014

Industry, Gov't & Nonprofit
On the "Front Lines" of Health Reform: Reinventing Team-Based Care, The Brookings Institution, 03/19/2014
An 'Infusion of Resources' Gets the Quality Ball Rolling, Robert Wood Johnson Foundation, 03/2014
CMS Request for Information: Transforming Clinical Practices, Centers for Medicare and Medicaid Services, 03/06/2014
Engaging Patients Improves Health and Health Care, Robert Wood Johnson Foundation, 03/2014
New Resource from the National Center for Medical Home Implementation: Alabama State Profile The National Center for Medical home Implementation, 03/2014
A Multidimensional Framework for Patient and Family Engagement in Health and Health Care, Robert Wood Johnson Foundation, 02/28/14

PCPCC in the News
One PCMH Pilot, Two Different Results, Medpage Today, 03/25/2014
Don't Rush to Judgement: Medical Homes Can Improve Outcomes, Save Lives, Huffington Post, 03/20/2014
Team-based Education Helps Fulfill PCMH Promise, AAFP, 03/20/2014
PCMH Model is Alive and Well Despite One Negative Study, AAFP, 03/12/2014
Friday Feedback: Time to Trash the Medical Home? Medpage Today, 03/01/2014
Medical Homes Reduce Costs for Chronically Ill

The American Journal of Managed Care just released results from a three-year study of Pennsylvannia's Chronic Care Initiative by Independence Blue Cross (IBC). This study found significant reductions in costs and inpatient medical services among high-risk patients enrolled in patient-centered medical homes; IBC reported total annual cost savings of 7.9% to 11.2% ($75 to $107 PMPM) and 8.6% to 16.6% fewer hospital admissions. 

The study compared health care cost and utilization results of nearly 700 high-risk patients enrolled in a medical home against a similar control group between 2009 and 2011. 

Read IBC's press release here.
Read full study here.
SGR Repeal Bill Agreement Unlikely to Pass
Modern Healthcare reported yesterday that Congress will not reach an agreement on how to pay for the permanent repeal and replace of Medicare's sustainable growth rate (SGR) before the March 31 deadline. The House will instead pass another temporary 12-month patch.

While the PCPCC is disappointed that a bipartisan agreement for a permanent 'doc fix' could not be reached, we are hopeful that Congress will continue to embrace the policies outlined in the SGR Repeal and Medicare Provider Payment Modernization Act as they continue to work together to repair the flawed US health care payment system.

Read Modern Healthcare's article here.
Read PCPCC's Feb 2014 letter to Congress here.
Upcoming PCPCC Conferences
Health Care Transformation:
Overcoming Challenges to Reach the Summit
June 9 - 10, 2014  |  Denver, CO
Register Today!
Early Bird Registration ends April 17th!




 
 
Patient-Centered Primary Care:
At the Heart of Value and Quality
November 12-14, 2014 | Washington, DC
Registration coming soon!
Learn more here.
Upcoming Events
March 27 - April 24
March National Briefing
March 27 | PCPCC

Enhancing Care Partnership Support in the Pediatric Medical Home
March 27 | NCMHI

Making the Business Case for Payment and Delivery Reform
March 28 | AcademyHealth

An Update on ADHD Diagnosis and Treatment in Primary Care
April 3 | Mercy Care Plan

An Update on ADHD Diagnosis and Treatment in Primary Care
April 10 | Mercy Care Plan

Fostering Partnerships and Teamwork in the Pediatric Medical Home
April 24 | NCMHI

April National Briefing
April 24 | PCPCC

For additional events, click here.
Facebook
Twitter
Website
 
Sustainable Behavioral Health Integration in 7 Steps
With over 40% of primary care patients suffering from behavioral health conditions, the patient-centered medical home is in an excellent position to provide accessible, value-added behavioral health care to patients across the US. A new study released this month by the Annals of Family Medicine hopes to encourage sustainable collaboration and integration of behavioral health in the medical home.

The Annals study provides seven necessary components to ensure value-added integration, which include: 1) combining benefits; 2) targeting complex patients; 3) using proactive behavioral teams; 4) matching expertise to treatment; 5) defining and measuring outcomes; 6) applying evidence-based treatments and 7) using cross-disciplinary care managers.

Read the full study here.
*Subscription required.
April Preview:
State Innovations
 
Medical home implementation and innovation at the state level plays a role in improving health care quality while reducing costs. Several states are leading the nation in efforts to study and implement integrative primary care, and are showing impressive improvements in cost and quality outcomes. We hope you'll join the PCPCC in April to learn more about the work being done at the state level! 

Webinar: State Models in Action - Minnesota Health Care Homes
Thursday, April 17 | 11:00AM - Noon ET
Registration coming soon!

National Briefing: State Innovations with Single and Multi-Payer Medical Home Initiatives
Thursday, April 24 | 1PM - 2PM ET
Registration coming soon!
NCQA Released New Medical Home Standards
 
NCQA released its new Patient-Centered Medical Home Recognition standards on March 24th. Key changes to the standards include the integration of behavioral health, greater emphasis on team-based care, and a focus on high-need populations. Learn more about the new standards here.
In Case You Missed It:
Integrating Peer Support
Our February National Briefing focused on the integration of peer support in to primary care and the positive impact that peer support has on health outcomes. Access slides and listen to recording here. 
Welcome New PCPCC Members!

Best Doctors brings together the best medical minds in the world through an innovative peer-to-peer consultation service, which offers a new way for physicians to collaborate with other physicians to ensure patients receive the best care. (www.bestdoctors.com)
 
The DentaQuest Foundation is responding to the need to make oral health a priority by fostering the development of a national network of oral health advocates. The organization emphasizes prevention, access to oral health care and partnerships. (www.dentaquestfoundation.org)


Health2 Resources is a full-service marketing communications and public relations firm that exclusively serves health care clients. H2R works closely with policymakers and regulatory agencies to build and improve relationships on behalf of a mix of clients. (http://www.health2resources.com/)


The National Interprofessional Initiative on Oral Health is a foundation-funded, multi-year effort to ensure that all patients have access to oral health services and referrals in the context of their primary care PCMH. (www.niioh.org)
 





 
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