Title |
Structuring Payment to Medical Homes After the Affordable Care Act
|
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Published in |
Journal of General Internal Medicine, April 2014
|
DOI | 10.1007/s11606-014-2848-3 |
Pubmed ID | |
Authors |
Samuel T. Edwards, Melinda K. Abrams, Richard J. Baron, Robert A. Berenson, Eugene C. Rich, Gary E. Rosenthal, Meredith B. Rosenthal, Bruce E. Landon |
Abstract |
The Patient-Centered Medical Home (PCMH) is a leading model of primary care reform, a critical element of which is payment reform for primary care services. With the passage of the Affordable Care Act, the Accountable Care Organization (ACO) has emerged as a model of delivery system reform, and while there is theoretical alignment between the PCMH and ACOs, the discussion of physician payment within each model has remained distinct. Here we compare payment for medical homes with that for accountable care organizations, consider opportunities for integration, and discuss implications for policy makers and payers considering ACO models. The PCMH and ACO are complementary approaches to reformed care delivery: the PCMH ultimately requires strong integration with specialists and hospitals as seen under ACOs, and ACOs likely will require a high functioning primary care system as embodied by the PCMH. Aligning payment incentives within the ACO will be critical to achieving this integration and enhancing the care coordination role of primary care in these settings. |
X Demographics
Geographical breakdown
Country | Count | As % |
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United States | 4 | 80% |
Unknown | 1 | 20% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 3 | 60% |
Scientists | 2 | 40% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 56 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Ph. D. Student | 11 | 20% |
Researcher | 9 | 16% |
Student > Master | 7 | 13% |
Other | 5 | 9% |
Professor | 4 | 7% |
Other | 14 | 25% |
Unknown | 6 | 11% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 20 | 36% |
Social Sciences | 10 | 18% |
Nursing and Health Professions | 6 | 11% |
Business, Management and Accounting | 4 | 7% |
Economics, Econometrics and Finance | 3 | 5% |
Other | 5 | 9% |
Unknown | 8 | 14% |