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“Operating costs at many medical group practices rose faster than revenues in 2007, according to a new survey by the Medical Group Management Association - a situation that some industry insiders blame on the slow uptake of information technology by physicians.”
Article
Richard Pizzi, Healthcare IT News, 23 October 2008
“The so-called medical home concept is critically dependent on information technology, said David Howes, MD, president and CEO of Martin’s Point Health Care, a not-for-profit healthcare organization based in Portland, Maine.”
Article
Molly Merrill, Healtcare IT News, 20 October 2008
“BlueCross BlueShield of North Dakota, the state’s largest provider of healthcare coverage, will use information technology to help launch its state-wide patient-centered medical home initiative.”
Article
Molly Merrill, Healthcare IT News, 15 October 2008
“To achieve the diverse health care goals of the United States, health care value must increase. The capacity to create value through innovation is facilitated by an integrated delivery system focused on creating value, measuring innovation returns, and receiving market rewards. This paper describes the Geisinger Health System’s innovation strategy for care model redesign. Geisinger’s clinical leadership, dedicated innovation team, electronic health information systems, and financial incentive alignment each contribute to its innovation record. Although Geisinger’s characteristics raise serious questions about broad applicability to nonintegrated health care organizations, its experience can provide useful insights for health system reform.
Geisinger Health System in Pennsylvania reduced hospital admissions by 20 percent and saved 7 percent in total medical costs by providing a patient-centered medical home (PCMH) model of care—including around-the-clock access to primary and specialty care, and physician and patient access to electronic health records (EHRs)—according to first-year results from pilot-test sites. The findings, released in the September/October issue of Health Affairs, provide the first evidence that the PCMH model can improve quality of care and reduce health care costs. The article also describes Geisinger Health System’s efforts to redesign its care delivery infrastructure and to create incentives aligned to enhanced health care value. ”
Abstract
Ronald A. Paulus, Karen Davis and Glenn D. Steele, Health Affairs, 27, no. 5 (2008): 1235-1245
doi: 10.1377/hlthaff.27.5.1235
“Recent efforts to improve primary care in the United States have focused largely on the development and implementation of practice models and payment reforms intended to create a “medical home” for patients. The notion of a medical home makes intuitive sense and indeed has great promise. But unrealistic expectations about this approach abound, and insufficient attention is being paid to several important barriers to the clinical and financial success of the medical-home model.”
Article
Elliott S. Fisher, NEJM, Volume 359:1202-1205, September 18, 2008, Number 12
“Seeking ways to slow the growth of Medicare spending and to better coordinate the health care it finances, the federal government is preparing to test the concept of the “medical home” in the Medicare program. In response to a mandate in the Tax Relief and Health Care Act of 2006, the staff at the Centers for Medicare and Medicaid Services (CMS) is developing a demonstration program that will operate for 3 years in rural, urban, and underserved areas in up to eight states. Congress has directed the agency to use the program to “redesign the health care delivery system to provide targeted, accessible, continuous and coordinated, family-centered care to high-need populations.” Reluctant to constrain the freedom of beneficiaries currently covered under the traditional fee-for-service model, however, Congress placed no limits on patients’ freedom to seek treatment, without a referral, from physicians not affiliated with their medical home and made virtually all practices eligible to participate in the demonstration program.”
Article
J. K. Iglehart, NEJM, Volume 359:1200-1202, September 18, 2008, Number 12
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