Patient-Centered Medical Home Special Report

Health Care Reform Likely to Be Based on PCMH

Primary Care High on List of Possible Fixes

February 17, 2009 03:55 pm — Primary care and the patient-centered medical home, or PCMH, are necessary components of any national health care reform package. That philosophy has shown up repeatedly at all levels during the ongoing health care reform debate, say health care analysts.

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More About PCMH

  • Health Care Reform Likely to Be Based on PCMH

    02/17/2009 — Primary care and the patient-centered medical home, or PCMH, are necessary components of any national health care reform package. That philosophy has shown up repeatedly at all levels during the ongoing health care reform debate, say health care analysts.

  • States Leading Adoption of Medical Home

    02/17/2009 — The patient-centered medical home, or PCMH, has emerged as a driving force behind health care reform efforts on the state level, creating sustained and systematic change that is reshaping the nation's health care landscape.

  • PCMH Model Calls for New Payment Methods

    02/17/2009 — No doubt about it: Most health care stakeholders agree that primary care is in crisis. Most also agree that the patient-centered medical home, or PCMH, with its enhanced payment to primary care practices, is a promising solution to that crisis. But when it comes to how much that enhanced payment should be, and what form it should take, the agreement ends.

  • FPs Creating Medical Homes for Patients

    02/17/2009 — Terry Hanlon is a 60-year-old man who, by his own account, hadn't had a health physical since his stint in the army three decades ago and had never heard of the patient-centered medical home, or PCMH. Then, about a year ago, Hanlon stumbled onto the medical home model when he made an appointment with Christopher Crow, M.D., M.B.A., a family physician and the managing partner of Village Health Partners, a mid-sized physician practice located in Plano, Texas, an upscale suburb north of Dallas.

  • PCMH Offers Better Access to Improved Clinical Care

    02/17/2009 — Although many patients might not yet know about the patient-centered medical home, or PCMH, family physicians using the model think it won't take long for people in their care to embrace the concept.

  • Subspecialists Willing to Collaborate in PCMH Model

    02/17/2009 — Perhaps one of the least recognized benefits of the patient-centered medical home, or PCMH, is the opportunity it offers to improve the way primary care physicians and subspecialists work together. Optimizing these collaborations could lead to systemwide cost savings that have the potential to directly benefit all physicians -- those in primary care and their subspecialty colleagues.

  • FM Residencies Already Incorporating Medical Home

    02/17/2009 — Although most family medicine residencies have begun adopting pieces of the patient-centered medical home, or PCMH, model, the 14 residencies taking part in the AAFP's Preparing the Personal Physician for Practice, or P4, initiative are well down the road when it comes to educating future family physicians in this new environment. The P4 initiative is being coordinated by the AAFP's wholly owned practice redesign subsidiary, TransforMED LLC.

  • PCMH Gets Off to Slow Start in Nation's Medical Schools

    02/17/2009 — A growing number of family medicine residencies are integrating the principles of the patient-centered medical home, or PCMH, into their programs, but the nation's medical schools remain reluctant to teach students about the PCMH model of care. They are waiting and watching to see how the model is incorporated into established physician practices, say teachers of family medicine and others.

Profiles

  • Team-Based Care Leads to Financial Success

    02/17/2009 — In 2003, Peter Anderson, M.D., a member of the Riverside Medical Group at Hilton Family Practice in Newport News, Va., had all but given up. Two to three pay cuts during a four-year period and the possible resignation of nurses he had worked with for 20 years because they could make more money elsewhere were dragging him and his practice down. Anderson knew he had to do something. That's when he made the decision to implement a practice-based care team model.

  • FP Finds Move to PCMH Well Worth Investment

    02/17/2009 — Susan Andrews, M.D., of Family Practice Partners in Murfreesboro, Tenn., says she's a strong proponent of the patient-centered medical home, or PCMH, and continuously tries to find ways to make the model work even better for her practice and her patients. The practice, which was selected to take part in the TransforMED national demonstration project, or NDP, in 2006, has a robust electronic health record, or EHR, system and uses it to offer patients more choices in how they receive their care.

  • FP Benefits From State Program That Pays for PCMH Status

    02/17/2009 — Joseph Mambu, M.D., of Ambler, Pa., had the good fortune to be in the right place at the right time in the spring of 2008. Soon after Mambu's practice, Family Medicine, Geriatrics and Wellness, completed its participation in a two-year national demonstration project on the patient-centered medical home, or PCMH, run by AAFP's TransforMED LLC, it was accepted into a chronic care initiative with a payment incentive worth going after.

  • Give Medical Home Model Chance to Work, Says Researcher

    02/17/2009 — Hoangmai Pham, M.D., M.P.H., a general internist and senior health researcher at the Center for Studying Health System Change, or HSC, was on the design team for Medicare's patient-centered medical home, or PCMH, demonstration. Pham also was lead author of the paper "Paying for Medical Homes: A Calculated Risk," which was part of an HSC policy perspective titled "Making Medical Homes Work: Moving From Concept to Practice. In this AAFP News Now interview, Pham elaborates on the paper's sometimes contrary suggestions.