Public Payer Medical Home Initiatives
The National Academy for State Health Policy (NASHP) and the Patient Centered Primary Care Collaborative (PCPCC) have partnered on a one-year project to advance medical homes in state Medicaid and CHIP (Children Health Insurance Program). Supported by The Commonwealth Fund, this project includes a series of three web seminars and accompanying State Health Policy Briefings that discuss strategies for states to consider when supporting practices in fulfilling their role as a medical home. This brief is the third and follows the web seminar State Roles in Multi-Payer Medical Home Pilots, held on November 12, 2008.
This issue brief summarizes the web seminar by examining the Southeast Pennsylvania Chronic Care Initiative, Medicare Medical Home Demonstrations, and approaches to evaluations of medical home demonstrations. Evaluations are an important component of demonstration projects and address challenges from purchasers of care, including insurers, employers, and states to build an evidence base that will show the extra investments may help translate to improved health outcomes.
| Webcast III | 121.2 KB |

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. 























































































































































