Browsing by keyword "Patient-centered medical home"
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Implementing Integrated Clinical Care Management in the Patient-Centered Medical HomeClinical Care Management (CCM) of the highest risk, most complex and costly patients is a key element of the Massachusetts Patient-Centered Medical Home Initiative (MA PCMHI), and is a new service for most primary care practices. There is much confusion about the role of the Care Manager (CM), and a lack of awareness of key foundational elements critical to successful implementation of CCM. This poster describes the shared approach to implementation of CCM in the MA PCMHI, use of care management and care coordination clinical quality measures to monitor implementation progress, and shared lessons learned in the implementation process.
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Payments in Support of Effective Primary Care for Chronic ConditionsRisk adjustment models can establish appropriate payments and incentives for delivering superior primary care, particularly to people with chronic conditions, through health-based capitation and performance assessment in a patient-centered medical home (PCMH). The practical issues and administrative structures for implementing bundled PCMH payment that we discuss are relevant for single-payer Scandinavian countries as well as the US. Feasibility is supported by the “virtual all-payer” PCMH pilot of one US health plan.
