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Today’s medical home panel at the NASHP conference in Long Beach focused on partnering with the private sector. RI has coordinated all the payers to make incentives salient and set common standards. OK has 420,000 enrolled in their Medicaid medical home/PCCM program and is saving millions. Most are using NCQA accreditation of medical homes. PA has 1.2 million in their chronic care model medical homes. Payments to providers can reach $95,000/year. Technical assistance, learning collaborative and other support for providers is key in all three states. The common theme is that states have to take a leadership role, as a payer, convener, and regulator; when states convene the stakeholders, payers can coordinate without worrying about anti-trust issues.
Ellen Andrews