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State Legislators Champion Patient-Centered Medical Home
"I was encouraged to hear that others -- not just family physicians -- are embracing the medical home concept," said Steven Crawford, M.D., of Oklahoma City, chair of the department of family and preventative medicine at Oklahoma University Health Services Center and chair of AAFP's Commission on Governmental Advocacy. "The medical home was central to many of the discussions at the meeting," he said.
A Lasting Partnership
"It offers close-up support from a personal physician who helps the patient navigate the health care system," said Crawford.
Crawford, like other speakers, said the nation is in a "health care crisis," creating pressure for systematic reform that continues to grow because of increasing health care costs and the rising number of uninsured individuals.
"Many people like you are calling for system reform that recognizes the critical role a vibrant primary-care oriented system can have in improving quality while holding down costs," he said.
He also assailed the "flawed (physician) payment system," saying that it is "unsustainable." Under the medical home model, physicians would receive an additional $15 per member, per month fee to support care coordination and other services of the patient-centered medical home, according to Crawford.
"Acute episodic care would continue to be paid under a fee-for-service type of system," he added.
Dying on the Vine
"We have underfunded primary care in this nation, and that is the reason people do not go into primary care," said Crawford.
He praised the growth of community health centers, but he noted that many of the centers lack physician staffing. The Bush administration has increased funding for the centers but has sought to eliminate funding for Title VII primary care training programs, the very programs that create more primary care physicians, lamented Crawford.
"Every year we have fought and fought and been able to restore (that funding) year in and year out," Crawford said. "But it continues to be anemically funded."
Patient-Centered Medical Home is Key to Health Care
(5/14/2007)
Principles Establish Basis for Health System Reform
(3/6/2007)
Medical Homes, Physician-Led Networks Can Improve Care, Cut Costs
(3/6/2007)
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