Primary Care/Patient-Centered/Health Home
FEATURED ARTICLE
Shaking Up the Delivery of Traditional Mental Health Services
/in Policy Blogs Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health System Costs, Physical and Behavioral Health Integration, Primary Care/Patient-Centered/Health Home, Workforce Capacity /by Mary TakachSeveral primary health care organizations (PHCOs) that I have spoken with in the states and in Australia during my 10-month fellowship have established a central referral point or “one stop shop” to help primary care practices connect their patients to community-based mental health and/or substance abuse services. These referral centers can take the load off […]
Making Multipayer Reform Work: What Can Be Learned From Medical Home Initiatives
/in Policy Reports Cost, Payment, and Delivery Reform, Health System Costs, Primary Care/Patient-Centered/Health Home, Quality and Measurement /by Mary Takach and Sarah KinslerMedical home initiatives across the United States are demonstrating that multipayer reform, although complex and difficult to implement, is feasible when committed stakeholders negotiate strategies that are responsive to the local context. Seventeen multipayer medical home initiatives launched between 2008 and 2014 all navigated four critical decision-making points germane to any multipayer payment model: convening […]
Traveling Medical Home Team Brings Multi-Disciplinary Services to Remote Tasmania
/in Policy Blogs Cost, Payment, and Delivery Reform, Primary Care/Patient-Centered/Health Home, Quality and Measurement /by Mary TakachTasmania, Australia’s only island state, encompasses an area of 26,262 square miles – an area roughly the size of West Virginia – and is home to just over half a million Australians, most of them low income. According to Tasmania Medicare Local CEO Phil Edmondson, “We are the oldest and sickest and most poorly educated […]
Wyoming – Medical Homes
/in Policy Wyoming Cost, Payment, and Delivery Reform, Health System Costs, Primary Care/Patient-Centered/Health Home, Quality and Measurement /by Medical HomesWyoming’s 2013 Supplemental Budget included a $300,000 earmark to “[develop] a primary care medical home network in Wyoming.” The Wyoming Department of Health, which administers the state’s Medicaid program, leveraged a $14 million Health Care Innovation Award led by the Wyoming Institute for Population Health to help achieve this goal. The Department of Health allocated […]
Tennessee – Medical Homes
/in Policy Tennessee Cost, Payment, and Delivery Reform, Health System Costs, Primary Care/Patient-Centered/Health Home, Quality and Measurement /by NASHPSince 2008, the Bureau of TennCare (Tennessee’s Medicaid agency) has worked with the Tennessee Chapter of the American Academy of Pediatrics (TNAAP) to advance the medical home model in pediatric practices. In 2012, TNAAP launched the Tennessee Medical Home Project, a three-year education and training initiative to increase providers’ medical home capabilities and capacity to […]
Montana – Medical Homes
/in Policy Montana Cost, Payment, and Delivery Reform, Health System Costs, Primary Care/Patient-Centered/Health Home, Quality and Measurement /by Medical HomesLed by the state’s Commissioner of Securities and Insurance, Montana announced the launch of a voluntary statewide multipayer medical home initiative in March 2014. The Montana Patient-Centered Medical Home Program includes participation by Montana Medicaid and three commercial health plans: Allegiance Benefit Plan Management, Inc.; Blue Cross Blue Shield of Montana; and PacificSource Health Plans. […]
Population Health Components of State Innovation Model (SIM) Plans: Round 2 Model Testing States
/in Policy Accountable Health, Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Community Health Workers, Cost, Payment, and Delivery Reform, Health Equity, Health System Costs, Physical and Behavioral Health Integration, Population Health, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Social Determinants of Health /by NASHP*Chart updated March 6, 2015 The Round Two State Innovation Model (SIM) Test Awards granted by HHS to eleven states (Colorado, Connecticut, Delaware, Idaho, Iowa, Michigan, New York, Rhode Island, Ohio, Tennessee, and Washington) support state efforts to build multi-payer models of health system transformation. As noted in a previous analysis, population health improvement is […]
A Day in the Life of Local Care Coordinator Michele Brown in the CareFirst Patient-Centered Medical Home Program
/in Policy Care Coordination, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health System Costs, Physical and Behavioral Health Integration, Primary Care/Patient-Centered/Health Home, Quality and Measurement /by NASHP StaffDesigning a successful PCMH program involves policy decisions that create new provider and patient expectations, incentives, and infrastructure to support patient-centered care. An integral feature of the CareFirst PCMH program is the development of a care coordination infrastructure at the central, regional, and local level. Much of the work at the local level is done […]
Transforming the Workforce to Provide Better Chronic Care: The Role of Local Care Coordinators at CareFirst
/in Policy District Of Columbia, Maryland, Virginia Reports Care Coordination, Chronic and Complex Populations, Cost, Payment, and Delivery Reform, Health Coverage and Access, Physical and Behavioral Health Integration, Primary Care/Patient-Centered/Health Home, Quality and Measurement, Workforce Capacity /by Mary Takach and Susan ReinhardPart 6 in the Transforming the Workforce to Provide Better Chronic Care: The Role of Registered Nurses series. Click to see the rest of the series. CareFirst, a commercial insurer serving Maryland, northern Virginia, and the District of Columbia, utilizes local nurse care coordinators to support primary care providers within its patient-centered medical home program. […]
Australian Policymakers Taking Cues from ‘Shark Tank’ on Disruptive Innovation
/in Policy Blogs Cost, Payment, and Delivery Reform, Health System Costs, Primary Care/Patient-Centered/Health Home, Quality and Measurement /by Mary TakachWalkabout Medical Homes with Mary Takach: A 10-month Study of Australia January 2015 Many people are familiar with the U.S. television show, Shark Tank, where budding entrepreneurs pitch business ideas to a panel of industry giants or “sharks,” ultimately convincing one or more of them to invest. Imagine taking a similar premise and adopting it as […]
For individuals living with complex, often chronic conditions, and their families, palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical mental and spiritual needs during difficult times. Now more than ever, there is growing recognition of the importance of palliative care services for individuals with serious illness, such as advance care planning, pain and symptom management, care coordination, and team-based, multi-disciplinary support. These services can help patients and families cope with the symptoms and stressors of disease, better anticipate and avoid crises, and reduce unnecessary and/or unwanted care. While this model is grounded in evidence that demonstrates improved quality of life, better outcomes, and reduced cost for patients, only a fraction of individuals who could benefit from palliative care receive it. 
State Community Health Worker Models
/in Community Health Workers Featured News Home, Maps Behavioral/Mental Health and SUD, Care Coordination, Chronic and Complex Populations, Chronic Disease Prevention and Management, Community Health Workers, Cost, Payment, and Delivery Reform, Health System Costs, Long-Term Care, Medicaid Managed Care, Physical and Behavioral Health Integration, Population Health, Primary Care/Patient-Centered/Health Home Community Health Workers /by NASHP Staff