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CMS's fast-approaching Multi-payer Advanced Primary Care Practice Demonstration (MAPCP) participation deadline presents a critical opportunity for hospitals to advance a set of key strategic goals for transforming primary care through the medical home model.
The new CMS medical home demonstration: Implications and recommendations for hospitals and health systems
As hospitals and health systems explore the possibility of building a medical home model (or just transforming quality of care among aligned primary care practices), one major consideration is the type and level of investments needed up front -- especially when it comes to EMRs. Certainly, NCQA Tier 2 and Tier 3 Medical Home certification requires EMRs. But certification aside, are EMRs really necessary for meeting standard medical home goals, such as team-based care, enhanced patient access, patient education, chronic care management, and compliance with evidence-based preventive measures?
Building the Medical Home: Is a Practice EMR a Priority?
Making medical home support count toward insurers' medical loss ratios would be a win-win for insurers, providers, and patients alike. With that in mind, provider organization leaders may want to consider drafting a quick letter to the National Association of Insurance Commissioners (NAIC) supporting the idea that insurer support of medical homes count as a medical cost.
Why Providers Should Lobby for Payers: Medical Home Support as a "Medical Cost"