Projects Evaluating Medical Home Concepts
As of December 31, 2009, there were at least 26 pilot projects involving medical homes with external payment reform being conducted in 18 states. These pilots included over 14,000 physicians caring for nearly 5 million patients. The projects are evaluating factors such as clinical quality, cost, patient experience/satisfaction, and provider experience/satisfaction. Some of the projects underway are:
- Division B, Section 204 of the Tax Relief and Health Care Act of 2006 outlined a Medicare medical home demonstration project. This three-year project will involve care management reimbursement and incentive payments to physicians in 400 practices in 8 sites. It will evaluate the health and economic benefits of providing "targeted, accessible, continuous and coordinated, family-centered care to high-need populations." As of July 2009, however, the project had not yet started recruiting practices.
- In 2008, CIGNA and Dartmouth-Hitchcock announced they had launched a pilot program in New Hampshire with 391 primary care providers.
- A UnitedHealth Group medical home pilot in Arizona involving 7,000 patients and 7 medical groups began in 2009 and is scheduled to end in 2011.
- The state of Maine provided $500,000 in 2009 for a pilot project in 26 practices.
- The New Jersey Academy of Family Physicians and Horizon Blue Cross and Blue Shield of New Jersey implemented a pilot project in March 2009. This project is ongoing and involves more than 60 primary care practice sites and 165 primary care physicians. Specialties include family medicine/practice, internal medicine and multi-specialties in which 50% or more of the care provided is primary care.
- The Texas Medical Home Initiative, a multi-stakeholder primary-care driven organization, has launched a two year pilot involving 7 primary care practices in North and East Texas. This project involves 45 physicians and 75,000 patients. Services to the practices include practice coaching, a patient registry system, assistance with developing practice agreements with specialty practices to build the "medical neighborhood".
In 2006, TransforMED announced the launch of the National Demonstration Project aimed at transforming the way primary care is delivered in our country. The practice redesign initiative, funded by the AAFP, ran from June 2006 to May 2008. It was the first and largest “proof-of-concept” project to determine empirically whether the TransforMED Patient-Centered Medical Home model of care could be implemented successfully and sustained in today’s health care environment. More specifically, the project served as a learning lab to gain better insight into the kinds of hands-on technical support family physicians want and need to implement the PCMH model of care. Learn more about National Demonstration Project
Read more about this topic: Medical Home
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