New Report Offers Consensus on Patient Centered Medical Home and ACO

New report offers consensus on PCMH, ACO’s

The evidence of success of the medical home combined with the need for accountable delivery system reform demands action–and stakeholders have arrived at a consensus about what that consensus should look like, according to Better to Best: Value-Driving Elements of the PCMH and ACO a new report from the Patient-Centered Primary Care Collaborative, in partnership with The Commonwealth Fund and the Dartmouth Institute for Health Policy and Clinical Practice. The report outlines action steps and recommendations for policy, demonstration programs and research.

Historic Progress Made in Reforming Medicaid in New York State-Patient Centered Medical Home

New York spends more on Medicaid per capita than any other state in the nation, but we rank only 21st in program quality for patients. In most counties, Medicaid costs alone account for more than half of the entire county tax levy.

To reform the system, Governor Cuomo created a Medicaid Redesign Team. The Team — comprised of health care professionals, stakeholders, and legislators — was charged with reducing costs and improving patient care. The Team held open meetings throughout the state and reviewed more than 4,000 ideas from team members, outside health care professionals, and citizens.

Last week, the Team accomplished their goal, submitting an unprecedented consensus plan that meets the Governor’s budget target and saves over $2.3 billion. What’s more, under the plan, one million New Yorkers will now have access to an innovative “patient-centered” medical program, making New York the national leader in providing this type of personal care. Today, the legislation to enact the plan was submitted to the Legislature to be included as part of the Executive Budget.

If you would like more information on this historic plan, click here to read about the Medicaid report.

Primary doctors are transforming offices into patient-centered medical homes

 

Over the past 12 months I have discussed a multifaceted approach with the support of the East End Supervisors and Mayors Association to establish an Article 47 Municipal Cooperative Health Plan to consolidate municipal corporations on the eastern end of Long Island for the purpose of establishing local control and delivering long-term sustainability.

I have maintained that consolidation in and of its self will not deliver long-term sustainability and that we need to address the model on which care is deliver in order to achieve long-term sustainability.

The delivery models that are being discussed to support this sustainability objective will be the Patient Centered Medical Home and a local Clinical Integration effort lead by the East Ends three hospitals; Southampton, Peconic Bay and Eastern Long Island.  In addition to these delivery components this initiative will require participating municipal corporations to institute an incentive based Health and Wellness program.

I have attached below a terrific article about how doctors are transforming practices into Patient Centered Medical Homes.  I will continue to write about this initiative and keep you abreast of our progress.

Patient-centered medical home: Primary doctors are transforming offices into patient-centered medical homes – dailypress.com.

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