Recognition as a Patient-Centered Medical Home: Fundamental or Incidental?

Daniel Dohan; Mary Honodel McCuistion; Dominick L. Frosch; Dorothy Y. Hung; Ming Tai-Seale

doi:10.1370/afm.1488

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Who will drive change to PCMH
Anton J. Kuzel

Published on: 15 June 2013

Published on: (15 June 2013)
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Who will drive change to PCMH
Anton J. Kuzel, Physician
This article demontrates that even in a progressive state like California, payers (at least as of 2010) are not putting real incentives to support practice transformation and population health care. There are early indications of some attention in my state (Virginia), but I am more impressed by what CMS is doing through their innovation center. The employers in this study had the right intentions, but were not consideri...
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This article demontrates that even in a progressive state like California, payers (at least as of 2010) are not putting real incentives to support practice transformation and population health care. There are early indications of some attention in my state (Virginia), but I am more impressed by what CMS is doing through their innovation center. The employers in this study had the right intentions, but were not considering that absent payment reform to support PCMH full function, their contribution to encourage PCMH certification was essentially a waste of resources. Large self-insured employers who are embracing value based insurance design may, along with CMS, be important drivers of payment reform, and it may be that PCMH certification will be less important than giving PCPs adequate resources to implement and sustain proven models of effective population care that achieves the IHI triple aim.
Competing interests: None declared
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Competing Interests: None declared.