jueves, 3 de julio de 2014

AHRQ’s Health Care Innovations Exchange Focuses on Medicaid Initiatives To Support Medical Homes

AHRQ’s Health Care Innovations Exchange Focuses on Medicaid Initiatives To Support Medical Homes

The latest issue of AHRQ’s Health Care Innovations Exchangefeatures three state programs that reimbursed medical homes for delivering high-quality, coordinated care to Medicaid beneficiaries, improving outcomes and lowering costs. One of the featured policy profiles describes the Colorado Accountable Care Collaborative, a primary care-based model in which the state Medicaid agency contracts with regional organizations that, in turn, contract with primary care-led medical homes. The medical homes coordinate specialist, hospital, behavioral health and social services on behalf of Medicaid enrollees, leading to fewer admissions and readmissions, less use of high-cost imaging services and a slowdown in the growth of emergency department visits. The payment model for the program uses a blend of fee-for-service for medical services, capitation for care management and coordination, and financial incentives to promote quality and efficiency. Collectively, these improvements have yielded an estimated $6 million in cost savings for the state.
State-Financed, Primary Care–Led, Accountable Care Collaborative Provides Comprehensive, Coordinated Care to Medicaid Beneficiaries, Reducing Admissions, Use of Imaging Services, and Costs | AHRQ Innovations Exchange

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