Patient Centered Medical Home Resources
SIM update: PCMH standards affirmed but rushing into a radical Medicaid payment change
The good news: At yesterday’s meeting the SIM steering committee voted to accept their workgroup’s recommendation to use NCQA national standards, with some CT-specific additions, as the patient-centered medical home (PCMH) standard for the SIM glide path program. SIM will work with NCQA to develop the additional standards, possibly to include oral and behavioral health…
Read MoreGood news on SIM and PCMH national standards
The new SIM Practice Transformation Workgroup met last night for the first time and support for patient-centered medical home national standards was strong. Advocates have been strong supporters of national standards for PCMHs over a CT-specific program. There is growing evidence that PCMHs that meet national standards perform better on quality, enhance access to care…
Read MoreAdvocates’ comment urging DSS not to erode successful PCMH standards in Medicaid regulations
Eighteen consumer organizations signed onto a letter of comment sent yesterday making the case that DSS should continue using successful national standards for patient-centered medical homes (PCMHs) in new Medicaid regulations. Original versions of draft language included the current practice of adopting NCQA national standards for PCMH recognition and incentives. However, without notice, national standard…
Read MoreSIM committee to discuss PCMH national home standards
The first meeting of the SIM Practice Management Taskforce will re-visit SIM’s earlier decision to reject national standards for patient-centered medical homes. National standards, such as NCQA, have been very successful nationally and in CT in improving health outcomes while controlling costs. Advocates have serious concerns about eroding standards that promote quality care and ensure…
Read MoreSIM update – good news but new concerns
Last week’s SIM steering committee included some good news but new concerns. Based on public comment from independent advocatessupporting national standards for patient-centered medical homes and urging SIM to reconsider their decision to create a CT-specific standard, wasting time and resources to fix something that is not broken and working well. In response, the committee…
Read MoreNew Brief: Patient-centered medical homes are working in CT, but standards are at risk
Patient-centered medical homes (PCMHs) are working well in CT. There is growing national and state evidence that certified PCMHs improve health care access and outcomes while controlling costs. PCMHs are a new way of delivering health care that uses a team of providers to coordinate care and help people keep themselves healthy. CT’s Medicaid program…
Read MoreNCQA patient-centered medical home webinar video posted
A recording of today’s webinar with NCQA about patient-centered medical home recognition is posted online. Experts from NCQA described their process and standards for patient-centered medical homes and the benefits to Connecticut. The slides are posted online as well.
Read MoreCT’s Medicaid success: Access and quality are up, costs are down
Since 2012, when CT’s Medicaid program shifted from a capitated payment model to a self-insured model based on care coordination, the program has enjoyed significant improvements in quality, access and cost control, as predicted. A new analysis finds that the number of providers participating the in the program is up 32%, person-centered medical homes are up…
Read MoreMedicaid Council update – very good news on PCMHs
At today’s Medicaid Council meeting we heard an impressive presentation by DSS and CHNCT, Medicaid’s administrative services organization, about the success of person-centered medical homes (PCMHs) in CT’s program. At the end of the year 211,206 Medicaid consumers were being cared for in a PCMH – about one in three CT Medicaid recipients. 65% of…
Read MoreMedicaid Council update
Friday’s Medicaid Oversight Council meeting focused on the success of the Intensive Care Management Program. The program provides the most fragile Medicaid consumers with team-based, patient-centered care starting with a comprehensive assessment of what consumers need, both health and other supports, strengths and barriers. The team supports the consumer in setting their own goals and…
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