Tag Archives: Patient-Centered Medical Home

What Should We Conclude From ‘Mixed’ Results In Payment Reform Evaluations?

It is true that evaluation results of payment reform models so far are not cause for celebration, but there are some positive cost and quality results and lessons are accumulating that can inform the next set of program parameters, incentive structures, and tools to help clinicians succeed.

August 14, 2017

Diffusion Of Innovations In Health Care—Obtaining Evidence To Move Faster

The growing field of implementation science offers exciting opportunities to improve the diffusion of innovations in the health care delivery system.

May 16, 2017

Mega Teaching Health Centers: A New Model To Power CHCs

We describe the unique aspects of a proposed modified and greatly expanded THC model—Mega THCs—and suggest a program funded by the Center for Medicare and Medicaid Innovation (CMMI) to demonstrate this new paradigm.

October 13, 2016

The Need For Additional Flexibility In Medicare Advantage

While social determinants of health are often addressed outside of the health care system, there is evidence that shows positive associations between social services spending and better health outcomes.

August 29, 2016

How Solid Is The Primary Care Foundation Of The Medical Home?

MACRA identified the PCMH model as a presumptively qualifying Alternative Payment Model that would give physicians higher payments. A recently completed a study examines the interaction of advanced primary care practices and ACOs. This blog derives from the authors' review of the literature on...

March 25, 2016

Not Your Usual Suspects: Roles For State Agencies In PCMH Payment Reforms

State insurance departments, State Employee Benefits, and Public Health departments and agencies in collaboration with Medicaid, private payers, and other stakeholders have undertaken significant roles to strengthen multipayer PCMH efforts.

December 8, 2015

Nature And Nurture: What’s Behind the Variation In Recent Medical Home Evaluations?

Recent evaluations of two regional medical home pilots (i.e., efforts to improve the capabilities and performance of primary care practices) within the Pennsylvania Chronic Care Initiative have produced differing results.

June 19, 2015