SECTION ONE
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Get Help Now!1. Discuss the difference between Patient Centered Medical Home and Health Management Organization.
2. Explain why Health IT, workforce development, and payment reform are critical to success of Patient Centered Medical Home.
Useful Readings:
– Patient Centered Primary Care Collaborative (2010) Joint Principles of the Patient Centered Medical Home. Available at http://www.pcpcc.net/content/joint-principles-patient-centered-medical-home (Retrieved 08/21/2012)
– Patient Centered Primary Care Collaborative (2010) Introduction to the Patient Centered Medical Home. Available at http://www.pcpcc.net/content/emmi (video) (Retrieved 08/21/2012)
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SECTION TWO
Conduct some preliminary research on a Patient Centered Medical Home demonstration/pilot project in your state. The PCMH project can be a demonstration program initiated by your state government or by an insurance company. Please write a paper answering the following questions:
1. Which populations (e.g. adults, children, or elderly) and what conditions/diseases are targeted?
2. Who are the participating payers?
3. What type of insurance product (e.g. HMO or PPO) does the participating payers include?
4. Who are the participating providers? (Please just list the type of providers, such as hospitals or community health centers)
5. How are the participating providers reimbursed?
6. Please briefly describe the result and the progress of this PCMH program? (no more than 250 words)
7. What kind of payment method is more suitable for reimbursing PCMH? Justify your answer ( 1or 2 paragraphs)
Solution Preview
SECTION ONE
1. Discuss the difference between Patient Centered Medical Home and Health Management Organization.
Patient Centered Medical Home
The Patient Centered Medical Home is a new way of healthcare delivery in at the level of physician care. The primary goal is to coordinate care between providers under one physician to provide optimal care. Compared to the older Health Maintenance Organization, the control was with one provider but there was no management of care among the providers. The importance of health information technology is paramount in the new PCMH model along with training staff to be able to work with consumers, manage technology and coordinate patient care. Payment reform will be a critical point in the future to keep patients and providers happy with the new model.
The term “medical home” actually was determined in 1967 as the American Academy of Pediatrics began itself evolution toward a coordinated, family-centered approached to healthcare. There have been identified gaps in the way healthcare has been delivered. These interruptions have been sought to be corrected by a method called Patient Centered Medical Home (PCMH). ….
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