Missouri's Medicaid State Plan Amendment (SPA) authorizing the establshment of CMHC Healthcare Homes was approved in October 2011, and twenty-eight CMHCs began preparing to operate as Healthcare Homes.
This report summarizes the characteristics of the population served by the CMHC Healthcare Homes, as well as the clinical outcomes and system impact achieved during the first 108 months of the CMHC Healthcare Home initiative (January 2012 thorugh June 2013), with particular attention to indviduals who were continuously enrolled for one year and for the entire 18 month period.
Highmark Inc. today released results from the company's Quality Blue Hospital Pay for Performance program that demonstrates clinical outcome improvements by hospitals in western and central Pennsylvania and West Virginia in many different areas. "We have an extraordinary level of commitment from the hospitals in Highmark's network," said Paul Kaplan, M.D., senior vice president of Provider Integration and Strategy for Highmark. "The year over year improvements demonstrates that the program has been and continues to be very successful.
Executive Summary
The Accountable Care Collaborative completed its second year of operations in June 2013. Program results continue to be positive in terms of enrollment, cost savings, quality of care, client outcomes, and utilization of services.
Analysis of the program’s performance demonstrates:
The patient-centered medical home (PCMH) model has great potential for optimizing the care of chronically ill patients, yet there is much to be learned about various implementations of this model and their impact on patient care processes and outcomes.
Horizon BCBSNJ compared how health care was delivered to 70,000 members in patient-centered practices to the health care delivered to members in other primary care practices. The results showed impressive improvements in care and reduced costs to those members in the Program, including:
Providing Better Care
5 percent higher rate in improved diabetes control (HbA1c).
3 percent higher rate in breast cancer screenings.
Independence Blue Cross (IBC) announces the results of a series of three-year studies that demonstrate significant reductions in medical costs for patients with chronic conditions treated in primary care practices that have transformed into medical homes. Most notably, diabetic members treated in a medical home practice had 21 percent lower total medical costs, driven by a 44-percent reduction in hospital costs. Lower emergency room costs were seen after one year.
OBJECTIVE: To examine the associations between partial and incremental implementation of the Patient Centered Medical Home (PCMH) model and measures of cost and quality of care.
DATE SOURCE: We combined validated, self-reported PCMH capabilities data with administrative claims data for a diverse statewide population of 2,432 primary care practices in Michigan. These data were supplemented with contextual data from the Area Resource File.
BACKGROUND: There is growing evidence that even small and solo primary care practices can successfully transition to full Patient Centered Medical Home (PCMH) status when provided with support, including practice redesign, care managers, and a revised payment plan. Less is known about the quality and efficiency outcomes associated with this transition.
OBJECTIVE: Test quality and efficiency outcomes associated with 2-year transition to PCMH status among physicians in intervention versus control practices.
