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Today we received the question, "What information do you have on the potential use of PAs in the ACO model?"
From a sheer regulatory perspective, regarding ACOs in current Medicare pilots, PAs are not included in the set of primary care providers to whom patients may attributed under the Shared Savings Program (SSP). However, under the new Pioneer ACO Model, patients can align with PAs (that is, PAs are included in the definition of PCPs.)
PA/NP role in ACO? Look to the PCMH
Our data shows that 39% of self-identified medical homes are formally recognized by an organization, most frequently NCQA. But options for recognition are multiplying-- causing Medical Home Project participants to ask how to make an informed decision about which one to pursue (if any).
One great new resource: A new white paper by the Urban Institute profiles and, more importantly, compares, 10 different PCMH recognition approaches on the basis of content domains, what their scoring systems tend to emphasize, and what could be called feasibility: Cost, time to complete, endorsements, etc.
Comparing PCMH recognition options
In an earlier post I gave a quick overview of six upcoming challenges to building a strong PCMH-specialist partnership. Today's focus is challenge no. 2: Building interdisciplinary channels for PCMH-specialist cooperation.
Role of specialists in the medical home: Part 2 Building Interdisciplinary Channels