Healthcare Analytics, Population Health Management, Healthcare Big Data

Patient Centered Medical Home

Patient-Centered Medical Home Has Saved Payer $1.2B Since 2011

July 2, 2018 - CareFirst BlueCross BlueShield has saved nearly $1.2 billion – yes, billion – since 2011 by implementing a patient-centered medical home (PCMH) model across ninety percent of its contracted healthcare providers in its mid-Atlantic service area. By organizing primary care providers into teams of between five and fifteen providers who work together to coordinate care,...


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CMS Support Program Turns Safety Net Providers into Medical Homes

by Jennifer Bresnick

Federally qualified healthcare centers (FQHCs) that received technical and financial assistance from a CMS demonstration program were significantly more likely to become high-level patient-centered medical homes (PCMHs) than peers who did...

NCQA: Patient-Centered Medical Home No Longer “Unduly Onerous”

by Jennifer Bresnick

In addition to being dedicated, hard-working, and compassionate, physicians tend to share the character trait of being a very vocal, forthright, and outspoken group of professionals.  Over the past few years, they have had ample...

NCQA Revamps Patient-Centered Medical Home to Ease Adoption

by Jennifer Bresnick

NCQA has announced a redesign of its popular patient-centered medical home (PCMH) recognition program that will lower the burdens of adoption and upkeep for primary care providers. The new patient-centered medical home process promotes...

Specialists Get Higher Marks than PCPs for PCMH Satisfaction

by Jennifer Bresnick

Primary care providers may not be providing all the benefits the patient-centered medical home (PCMH) has to offer, according to a study in the American Journal of Managed Care, lagging behind their specialist peers in several measures of...

Provider Experience, Chronic Disease Impact PCMH Referral Rates

by Jennifer Bresnick

Patients with common chronic diseases, as well as those seen by less experienced providers, are more likely to receive specialty referrals than others being treated within the patient-centered medical home environment, according to an...

Large Patient-Centered Medical Homes Employ More Care Coordinators

by Jennifer Bresnick

Larger primary care practices and patient-centered medical homes (PCMHs) are significantly more likely to have the resources and skills to offer population health management programs and employ dedicated care coordination staff, according...

Leveraging the Patient-Centered Medical Home for Older Adult Care

by Jennifer Bresnick

The patient-centered medical home (PCMH), one of the nation’s most promising care coordination and population health management frameworks, may be ideally suited to ensuring that older adults receive the services they need to...

Patient-Centered Medical Home May Improve Safety Net Care

by Nathan Boroyan

Establishing a patient-centered medical home model in safety net clinics may lead to more primary care visits and less emergency department use among Medicaid beneficiaries, according to a new study published in the American Journal of...

6 Success Factors for Pediatric Patient-Centered Medical Homes

by Jennifer Bresnick

The patient-centered medical home has become a popular and promising framework for improving care coordination, fostering preventative care, and generating better outcomes for patients, including children.  The patient-centered...

NCQA Releases Patient-Centered Medical Home Standards Updates

by Sara Heath

The National Committee for Quality Assurance (NCQA) is requesting industry comment on its updates to the patient-centered medical home (PCMH) standards guide for 2017. In a press release, NCQA describes its updates, saying that these...

Geisinger Patient-Centered Medical Home Cuts Care Costs by 9%

by Jennifer Bresnick

The debate over the true value of the patient-centered medical home (PCMH) continues with a new study by Geisinger Health System, which indicates that the comprehensive care framework may be able to reduce the total costs of patient care...

PCMHs, ACOs More Likely to Use EHRs for Population Health

by Jennifer Bresnick

A new survey published this month in the American Journal of Managed Care found that providers who had adopted EHRs in 2012 were significantly more likely than non-users to engage in population health management, patient communication, and...

CMS Unveils Value-Based Patient-Centered Primary Care Model

by Sara Heath

The Centers for Medicare & Medicaid Services (CMS) has unveiled the Comprehensive Primary Care Plus (CPC+) model, a new multi-payer patient-centered primary care model which aims to allow providers to deliver flexible, individualized...

PCDC Celebrates Aiding Its 200th Patient-Centered Medical Home

by Jacqueline LaPointe

Two hundred primary care practices have earned the National Committee for Quality Assurance (NCQA) patient-centered medical home (PCMH) recognition with the help of the non-profit Primary Care Development Corporation, according to a recent...

Patient-Centered Medical Home Wins $100K for Medicaid Work

by Jacqueline LaPointe

Hearst Health and the Jefferson College of Population Health at Thomas Jefferson University recently announced that Community Care of North Carolina (CCNC) has won the inaugural Hearst Health Prize of $100,000 for their population health...

Patient-Centered Medical Home Keeps Spending Low, Quality High

by Jennifer Bresnick

The patient-centered medical home (PCMH) continues to show staying power as one of the healthcare industry’s most effective cost-cutting and quality-boosting initiatives, says the latest annual report from the Patient-Centered...

How the Patient-Centered Medical Home “Repackages” Primary Care

by Jennifer Bresnick

The healthcare industry operates in a unique economic niche where the “what you see is what you get” principle that governs most other consumer interactions only vaguely applies.  Patients often walk into the consult room...

RAND: Patient-Centered Medical Home May Cost $147K Per Year

by Jennifer Bresnick

Are the potential savings and patient care benefits of the patient-centered medical home (PCMH) worth the costs?  RAND Corporation is weighing in on the eternal debate over the benefits and drawbacks of implementing the innovative...

Establishing the Basis for Accountable Care Organization Success

by Sylvia Dochterman

Care management is the key to ACO success, but many healthcare organizations overlook the most fundamental factor in care coordination…an advanced system of primary care! ACO models involve many varied elements of care management,...

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