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A number of members of the Medical Home Innovation Collaborative have asked us about the impact of primary care and medical home investments on downstream hospital admissions. After all, better chronic disease management and improved, more timely access to PCPs for medical home patients likely will eventually require fewer hospitalizations for conditions such as unmanaged diabetes and heart failure.
Examining the Impact of Medical Homes on Downstream Hospital Cases
A medical oncology practice affiliated with Crozer-Keystone Health System in Pennsylvania, Consultants in Medical Oncology & Hematology PC (COH), has become the first medical oncology practice in the nation to earn Level III recognition from the NCQA as a medical home. Our colleague Allison Cuff Shimooka, managing director of the Advisory Board's Oncology Roundtable, recently spoke with COH to get a fuller picture of what a medical oncology medical home really looks like, what impact the adoption of medical home principles has had on the practice, and how this specialty medical home interfaces with primary care.
Inside the first NCQA-designated medical oncology medical home
Our colleague Shay Pratt, who leads the Advisory Board's research program on imaging, the Imaging Performance Partnership, just pointed out to us some interesting data about medical homes and imaging utilization. In this story about practices designated as medical homes by Blue Cross Blue Shield of Michigan (consisting of 1800 physicians in 500 practices), those physicians had a lower utilization of imaging for adults:
Imaging Utilization and Medical Homes: Early Results Suggest Cost Reduction Opportunity May Be Modest