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PCMH Foundations: Finance
Current fee for service payment policies are inadequate to fully achieve PCMH goals. Providers are not routinely compensated for care coordination or enhanced access, contributions of the full team are often not reimbursed, and there is no incentive to reduce duplication of services across the care continuum. Payment reform is needed to achieve the potential of primary care and the medical home.
Resources
There are tools and resources available in the Finance reference library that will provide more information about these principles.
| Type | Title | Abstract | HTML | |
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| Brief | Ensuring that Patient Centered Medial Homes Effectively Serve Patients with Complex Needs | The PCMH model currently offers or coordinates many of the services required for patients with complex needs. This decisionmaker brief offers programmatic and policy changes that can help practices, especially smaller ones, better deliver services to all patients, including those with the most complex health needs. |
(Coming soon)
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(Coming soon)
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| White Paper | Integrating Mental Health and Substance Use Treatment in the Patient-Centered Medical Home | The majority of PCMH demonstrations have not explicitly addressed the integration of mental health services into primary care. This paper examines successful approaches to delivering mental health treatment in primary care and PCMH settings. | (PDF-181.16KB) PDF Help |
(Coming soon)
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| White Paper | Coordinating Care for Adults with Complex Care Needs in the Patient-Centered Medical Home: Challenges and Solutions | Patients who have complex health needs typically require both medical and social services and support from a wide variety of providers and caregivers. This paper discusses strategies that are needed to help primary care practices perform as effective medical homes to coordinate such services for patients with complex care needs. |
(Coming soon)
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(Coming soon)
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