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In reply: Geriatric patient-centered medical home

In Reply: At this time, the financial incentives for acquiring NCQA medical home certification depend on your geographic location. According to a June 5th publication in Health Care Payer News,1 26 states have adopted policies to make payments to healthcare providers that have met medical home standards. These payments and their specific requirements vary from state to state.

Your question underscores the importance of our recommendation to partner with your local health insurance provider. By reaching out to them, you can learn about what incentive programs are in place in your area or are under development. The model that many insurance companies have used is to give higher reimbursements for practices that are medical homes or that meet certain quality insurance markers. If you align your medical home quality insurance markers with your local insurance company’s incentive plan, then your medical home work can translate into real dollars for your practice. This concept of an incentive plan for quality care is becoming more and more prevalent. Furthermore, the public (ie, patients) are also becoming more savvy about the concepts of the medical home and quality. Becoming a medical home has great marketing potential that can turn into financial benefits for a practice, as well.

References
  1. Mosquera M. States make progress with medical homes. Healthcare Payer News. June 5, 2012. Available at www.healthcarepayernews.com/content/states-make-progressmedical-homes. Accessed July 5, 2012.
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Amelia Gennari, MD
University of Pittsburgh Medical Center

Kim Fedor, BSN, MBA
University of Pittsburgh Medical Center

Eric Bakow, MA, MPM, RRT
University of Pittsburgh Medical Center

Neil M. Resnick, MD
University of Pittsburgh Medical Center

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Cleveland Clinic Journal of Medicine - 79(8)
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Amelia Gennari, MD
University of Pittsburgh Medical Center

Kim Fedor, BSN, MBA
University of Pittsburgh Medical Center

Eric Bakow, MA, MPM, RRT
University of Pittsburgh Medical Center

Neil M. Resnick, MD
University of Pittsburgh Medical Center

Author and Disclosure Information

Amelia Gennari, MD
University of Pittsburgh Medical Center

Kim Fedor, BSN, MBA
University of Pittsburgh Medical Center

Eric Bakow, MA, MPM, RRT
University of Pittsburgh Medical Center

Neil M. Resnick, MD
University of Pittsburgh Medical Center

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In Reply: At this time, the financial incentives for acquiring NCQA medical home certification depend on your geographic location. According to a June 5th publication in Health Care Payer News,1 26 states have adopted policies to make payments to healthcare providers that have met medical home standards. These payments and their specific requirements vary from state to state.

Your question underscores the importance of our recommendation to partner with your local health insurance provider. By reaching out to them, you can learn about what incentive programs are in place in your area or are under development. The model that many insurance companies have used is to give higher reimbursements for practices that are medical homes or that meet certain quality insurance markers. If you align your medical home quality insurance markers with your local insurance company’s incentive plan, then your medical home work can translate into real dollars for your practice. This concept of an incentive plan for quality care is becoming more and more prevalent. Furthermore, the public (ie, patients) are also becoming more savvy about the concepts of the medical home and quality. Becoming a medical home has great marketing potential that can turn into financial benefits for a practice, as well.

In Reply: At this time, the financial incentives for acquiring NCQA medical home certification depend on your geographic location. According to a June 5th publication in Health Care Payer News,1 26 states have adopted policies to make payments to healthcare providers that have met medical home standards. These payments and their specific requirements vary from state to state.

Your question underscores the importance of our recommendation to partner with your local health insurance provider. By reaching out to them, you can learn about what incentive programs are in place in your area or are under development. The model that many insurance companies have used is to give higher reimbursements for practices that are medical homes or that meet certain quality insurance markers. If you align your medical home quality insurance markers with your local insurance company’s incentive plan, then your medical home work can translate into real dollars for your practice. This concept of an incentive plan for quality care is becoming more and more prevalent. Furthermore, the public (ie, patients) are also becoming more savvy about the concepts of the medical home and quality. Becoming a medical home has great marketing potential that can turn into financial benefits for a practice, as well.

References
  1. Mosquera M. States make progress with medical homes. Healthcare Payer News. June 5, 2012. Available at www.healthcarepayernews.com/content/states-make-progressmedical-homes. Accessed July 5, 2012.
References
  1. Mosquera M. States make progress with medical homes. Healthcare Payer News. June 5, 2012. Available at www.healthcarepayernews.com/content/states-make-progressmedical-homes. Accessed July 5, 2012.
Issue
Cleveland Clinic Journal of Medicine - 79(8)
Issue
Cleveland Clinic Journal of Medicine - 79(8)
Page Number
535
Page Number
535
Publications
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Topics
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In reply: Geriatric patient-centered medical home
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