Table of contents for Medicare's Medical Home Challenge

1. The Medicare Medical Home Demonstration: Crawling Out From Under the Rock – Part II

Vince’s post begs the question: “So…if one were to redesign the MMHD to fulfill the potential for both improving care quality (through access to an appropriate “Medical Home”) while simultaneously reducing healthcare costs, where might we start?”

Vince points us in the right direction in his post, calling our attention to the work of Randall Brown in his report of another CMS demonstration, the Care Coordination Demonstration. Brown points out two key observations:

1. Care Coordination, to save money, must start with the “right” population target; and,

2. Care Coordination interventions can only save money if they don’t COST more than about $120 per participant per month (the amount likely to be saved from a well-designed intervention).

In other words, the solution to the dilemma has two aspects: 1. FOCUS and 2. EXECUTION. (more…)

© Bonni for The Collaborative Forum, 2009. | Permalink | 3 comments | Add to del.icio.us
Post tags: Care coordination, Care management, CMS, EMR, Medical Home, Medicare, Remote Patient Monitoring

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