Patient-centered, comprehensive, team-based, coordinated care models are a focal point of healthcare reform. The patient-centered medical home (PCMH) model aims to provide better primary care and health outcomes at a lower cost. To become a PCMH, a set of standards must be met that includes coordination of care transitions.
The Pioneer Model program’s “Triple Aim” goal seeks to improve quality of care as well as the health of a population and to cut cost of care, which aligns with Monarch’s long-standing values, he said.
In the area of quality performance, Monarch scored highest in physician communication with the patient and patient overall satisfaction with their physician. It was also a top performer in several care coordination and patient safety metrics.
This report is the first of two legislatively mandated reports evaluating the Health Care Home initiative. It provides a preliminary evaluation of the Health Care Home (HCH) initiative.
First-year results from Cigna's (NYSE:CI) collaborative accountable care initiative with Granite Healthcare Network (GHN), a partnership among five independent charitable health care organizations in New Hampshire, indicate that the program is making strides toward achieving its goals of improved health, affordability and patient experience. The initiative has helped GHN deliver a higher level of care in New Hampshire while controlling total medical costs for its 30,000 patients who are covered by a Cigna health plan.
Missouri's Medicaid State Plan Amendment (SPA) authorizing the establshment of CMHC Healthcare Homes was approved in October 2011, and twenty-eight CMHCs began preparing to operate as Healthcare Homes.
This report summarizes the characteristics of the population served by the CMHC Healthcare Homes, as well as the clinical outcomes and system impact achieved during the first 108 months of the CMHC Healthcare Home initiative (January 2012 thorugh June 2013), with particular attention to indviduals who were continuously enrolled for one year and for the entire 18 month period.
SoonerCare is Oklahoma’s program for Medicaid beneficiaries; SoonerCare Choice is the managed care portion of SoonerCare. The program is administered by the Oklahoma Health Care Authority (OHCA) and operates under the aegis of a federal “Section 1115 waiver” that permits enrollment of certain groups into managed (coordinated) systems of care. Nearly 70 percent of all SoonerCare beneficiaries are enrolled in SoonerCare Choice, with children comprising the great majority of SoonerCare Choice members.
Executive Summary
The Accountable Care Collaborative completed its second year of operations in June 2013. Program results continue to be positive in terms of enrollment, cost savings, quality of care, client outcomes, and utilization of services.
Analysis of the program’s performance demonstrates:
