Texas – Medical Homes
The Texas Medical Home Work Group has been meeting regularly for more than three years. This group, convened by the Texas Department of State Health Services, exists to, “to enhance the development of Medical Homes within the primary care setting.” Several state agencies are represented in the group, as are a wide range of stakeholders. The group serves as a forum to coordinate and share information on public and private medical home activities in the state. These activities have included:
- A now-suspended plan for a $12 million Medicaid Health Home Pilot for children. Further information on the previously planned pilot is available in this National Academy for State Health Policy (NASHP) report.
- The development of an online course to help primary care providers serve as medical homes for pediatric populations. The course is offered in conjunction with Texas Health Steps, Texas Medicaid’s Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) benefit.
Last updated: December 2013
| Forming Partnerships |
The following state agencies are represented on the Texas Medical Home Work Group:
Additional participating stakeholders include health plans, providers, provider professional associations, and the primary care association.
It also bears noting that primary care providers in Texas have a history of enthusiastically supporting medical homes. The Primary Care Coalition, a group of almost 15,000 doctors from the Texas Academy of Family Physicians, the Texas Chapter of the American College of Physicians, and the Texas Pediatric Society released a 2008 report, The Primary Solution, calling for the Texas legislature to, “support a patient-centered primary care medical home for all Texans.”
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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. 























































































































































