The pace of change in health care delivery is quickening, and patient-focused primary care is at the focus. With increased focus on getting more value from health care, purchasers, payers and providers are redesigning care and payment systems to achieve better outcomes and lower costs. The Patient Centered Medical Home model for primary care is the centerpiece of Better Health's practice transformation work.
The Patient Centered Medical Home model provides structured, proactive and coordinated care for patients rather than episodic treatments for illnesses. In a medical home, the primary-care doctor operates as a "home base" for patients, overseeing all aspects of patients' health and coordinates care with any specialists involved in the patient's care.
New payment structures are critical to optimize the PCMH model’s impact on care, outcomes and cost. The predominant fee-for-service payment model pays for physician visits, but does not pay for proactive patient outreach or care coordination, key components of the model that have proven their worth. The current payment mode simply encourages more visits and shorter visits that often don’t permit ample attention to patients' needs.
Adoption of the model by practices in Ohio has tripled, climbing from 294 "medical home" recognized practices in 2012 to 494 at June 1, 2014.
Better Health plays several roles in advancing the
Patient-Centered Medical Home model:
- Brings together health plans, employers and primary care practices in value-based payment and delivery programs and to address needs of special populations within a PCMH practice.
- Offers coaching services to help primary care practices adopt the PCMH model and to optimize its performance with electronic health record tools, team-building and quality improvement projects.
- Supports primary care practices in shared learning opportunities at twice yearly Learning Collaborative Summits.
- Better Health President & CEO Randall D. Cebul, M.D. serves
on the Ohio Patient-Centered Primary Care Collaborative Coordinating Council and chairs the Payment Reform
What is a Patient-Centered Medical Home?
A Patient-Centered Medical Home is a primary care practice that is:
- Committed to quality and safety
Ohio Patient-Centered Primary Care Collaborative
The statewide Collaborative is a coalition of primary care providers, insurers, employers, consumer advocates, government officials and public health professionals, who are advancing the adoption of the Patient Centered Medical Home (PCMH) model in primary care practices.
How Better Health Works with Employers and Health Plans to Support Coordinated Care in "Medical Homes" for Special Populations
Three employers partner with Lake Health System to bring coordinated primary care to their employees and their families. Better Health Partnership and Health Action Council of Ohio are assisting Progressive Corp., Lubrizol Corp. and Lake County Schools Council in developing the program.
Learn more about Partnering for High Value Health Care
In Red Carpet Care, two PCMH practices of the MetroHealth System partnered with Medical Mutual of Ohio and Buckeye Community Health program to pilot a program to improve outcomes and lower costs for high-need, high-cost patients.
Learn more about the Red Carpet Care program