Importance Patient-centered medical homes have not been shown to reduce adverse outcomes or costs in adults or children with chronic illness.
Objective To assess whether an enhanced medical home providing comprehensive care prevents serious illness (death, intensive care unit [ICU] admission, or hospital stay >7 days) and/or reduces costs among children with chronic illness.
Data analyzed from 2013 on quality, outcomes and cost measures from Humana’s accountable care organization programs for about one million Medicare Advantage members shows a number of measureable improvements, according to the insurer.
Humana compared the measures of ACO patients with members treated in the traditional Medicare Advantage fee-for-service and original Medicare programs. Results show that ACO providers under a value-based reimbursement model had an average HEDIS Star score of 4.25 compared with providers not in an ACO, who averaged 3.65.
Spending and quality under global budgets remain unknown beyond 2 years. We evaluated spending and quality measures during the first 4 years of the Blue Cross Blue Shield of Massachusetts Alternative Quality Contract (AQC).
Highmark Inc.'s Patient-Centered Medical Home (PCMH) program, which launched in October 2012, is showing positive results with statistical improvements in patient care, according to company data.
Highmark's PCMH data, obtained from a sample of more than 152,000 members in western and central Pennsylvania from physicians completing their second year in the program, implies that the quality and efficiency of care that patients receive has improved significantly since the programs were implemented:
As of August, 2014, there are 87 practices (associated with 323 sites and 1,273 providers) enrolled in the Department’s PCMH program. These practices are serving over 254,000 Medicaid beneficiaries. Beneficiaries are attributed to these practices based on their use of them, as opposed to the typical managed care approach of assigning beneficiaries regardless of their preference. On the whole, health outcomes (e.g. use of preventative visits, management of chronic conditions ncluding diabetes) for participants of PCMH practices are better than for individuals not served by a PCMH.
Introduction. During the 2014 legislative session, the Vermont General Assembly passed Act No. 144, an Act Relating to Miscellaneous Amendments to Health Care Laws.
The American health care system is facing an aging population and increasing rates of chronic conditions, making primary care more important than ever. Unfortunately, even with an increasing number of insured patients, too many Americans lack access to primary care.
Financial and quality results released by the Centers for Medicare & Medicaid Services (CMS) earlier this week showed that Brown & Toland Physicians’ again helped generate significant savings for the Pioneer Accountable Care Organization program in 2013 and helped improve the care of the patients in the program.
