How to Build Reimbursement Models for the Patient-Centered Medical Home

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Manasquan, NJ (PRWEB) August 19, 2008 — The patient-centered medical home (PCMH) is moving from blueprint to actuality in the healthcare industry. Few question the PCMH’s intention — to provide family-centered and compassionate coordination of all medical and non-medical services needed by the patient. However, few payors and providers have agreed on payment models that adequately reimburse providers for services rendered through the medical home. Reimbursement Models for Medical Homes: From Pilot to Practice, a September 24, 2008 webinar from the Healthcare Intelligence Network, will examine developing reimbursement strategies for the PCMH.

NEWS FACTS:

Scheduled Speakers: Lesley Reeder, quality compliance specialist, Colorado Department of Health Care Policy and Financing and Dr. Barbara Walters, senior medical director of Dartmouth-Hitchcock Medical Center, a participant in the CMS Group Physician Practice demonstration project and an applicant for the NCQA Patient-Centered Medical Home designation.

Conference Highlights: Developing a reimbursement strategy for medical home programs that’s attractive to payors and providers; incentivizing providers through a pay-for-performance component to the medical home; reflecting the value of non-physician encounters in a reimbursement methodology; and analyzing the panel size and mix for successful implementation.

Target Audience: CEOs, medical directors, disease management directors, managers and coordinators, health plan executives, care management nurses, business development and strategic planning directors and physician practice leaders.

Webinar Formats: 90-minute live webinar on September 24, 2008 includes a 30-minute Q&A; “On-Demand” rebroadcast available September 26, 2008; 90-minute recording on CD-ROM with printed transcript or video recording of webinar on DVD available October 15, 2008. For conference details, please visit http://www.hin.com/cgi-local/link/news/pl.cgi?mhrmpr

QUOTE ATTRIBUTABLE TO MELANIE MATTHEWS, HIN EXECUTIVE VP AND COO:

“Many factors go into developing a PCMH reimbursement model that will satisfy both payors and providers, and these presenters have already completed some of the groundwork. Healthcare organizations contemplating a shift to the PCMH will benefit from this presentation, especially in light of early returns from PCMH pilots for the chronically ill. In particular, diabetes medical home pilots have already demonstrated improved outcomes, reduced ED utilization and reduced PMPM costs for pilot participants.”

Please contact Patricia Donovan to arrange an interview or to obtain additional quotes.

About the Healthcare Intelligence Network – HIN is the premier advisory service for executives seeking high-quality strategic information on the business of healthcare. For more information, contact the Healthcare Intelligence Network, PO Box 1442, Wall Township, NJ 07719-1442, (888) 446-3530, fax (732) 292-3073, e-mail info @ hin.com, or visit http://www.hin.com.

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