Medicare "Advanced Primary Care" Demonstration Project
On September 16, 2009, Health and Human Services (HHS) Secretary Kathleen Sebelius, announced a new 3-year “Medicaid-Medicare Advanced Primary Care (APC) Demonstration Initiative” that will allow the participation of Medicare beneficiaries in state-initiated medical home projects that also include Medicaid and private payers. This demonstration will mark the first time Medicare will be a full partner in these multi-payer medical home demonstrations and the practice model would, for the first time, align compensation offered by all insurers to primary care physicians. States wishing to participate in the new demonstration must:
- certify they have already established similar cooperative agreements between private payers and their Medicaid program;
- demonstrate a commitment from a majority of their primary care doctors to join the program;
- meet a stringent set of qualifications for doctors who participate;
- integrate public health services to emphasize wellness and prevention strategies.
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What's New
September 2012
On September 6, the Patient-Centered Primary Care Collaborative, released the report "Benefits of Implementing the Primary Care Patient-Centered Medical Home: Cost and Quality Results" This report provides a summary of new and updated results from PCMH initiatives from the past two years, including cost and quality outcomes data.
Recognized PCMH Practices
Website: www.ncqa.org/
Introduction to the Patient Centered Medical Home Video
Patients are curious about what a "Patient Centered Medical Home" is and this video was produced by Emmi Solutions in partnership with the Patient Centered Primary Care Collaborative (PCPCC) in an attempt to answer their questions. Many practices already provide the type of care outlined in the video, and it is by no means meant to be critical to those physicians who are doing their best to provide patient-centered care under the current structure.
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