Structuring payment for medical homes

Health Affairs

Volumn 29, Issue 5, 2010, Pages 852-858

  Merrell, Katie ^a   Berenson, Robert A ^b  

^a SOCIAL AND SCIENTIFIC SYSTEMS INC   (United States)

^b URBAN INSTITUTE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

CAPITATION FEE; CLINICAL EVALUATION; HEALTH CARE FACILITY; HEALTH CARE POLICY; HEALTH INSURANCE; HOSPITAL MANAGEMENT; MEDICAL HOME; PATIENT CARE; PRIMARY MEDICAL CARE; QUALITY CONTROL; REIMBURSEMENT; REVIEW; RISK ASSESSMENT;

CENTERS FOR MEDICARE AND MEDICAID SERVICES (U.S.); FEE-FOR-SERVICE PLANS; HOME CARE SERVICES; HUMANS; PATIENT-CENTERED CARE; REIMBURSEMENT MECHANISMS; UNITED STATES;

EID: 77958091881     PISSN: 02782715     EISSN: 15445208     Source Type: Journal    
DOI: 10.1377/hlthaff.2009.0995     Document Type: Review

References (22)

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15. Blue Cross Blue Shield of Michigan's demonstration uses this approach.
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17. The initial code covers anticoagulant management for an outpatient during an initial ninety days of therapy that includes at least eight blood chemistry measurements. The second applies to subsequent ninety-day periods that include at least three measurements.
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21. Tightening the linkage between diagnosis codes and physician revenues, however, could create incentives that undermine the reliability of recorded diagnoses.
22. The American Recovery and Reinvestment Act of 2009, PL 111-5, provides support for implementation of electronic health records.