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Medicaid "Health Home"

Monday, November 22, 2010   (0 Comments)
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Center for Medicare & Medicaid Innovation Launched

The Centers for Medicare & Medicaid Services has officially established the Center for Medicare & Medicaid Innovation. Created by the Affordable Care Act, the Innovation Center will examine new ways of delivering health care and paying health care providers that can save money for Medicare and Medicaid while improving the quality of care.

The Innovation Center will consult stakeholders across the health care sector including hospitals, doctors, consumers, payers, states, employers, advocates, relevant federal agencies and others to obtain direct input on its operations and to build partnerships with those that interested in its work. The organization will also test models that include establishing an "open innovation community” that serves as an information clearinghouse of best practices in health care innovation. The Center will also work with stakeholders to create learning communities that help other providers rapidly implement these new care models.

CMS also announced the launch of new demonstration projects that will support efforts to better coordinate care and improve health outcomes for patients. New initiatives will test "health home” and "medical home” concepts:

· The Federally Qualified Health Center (FQHC) Advanced Primary Care Practice Demonstration will test the effectiveness of doctors and other health professionals working in teams to treat low-income patients at community health centers. The demonstration will be conducted by the Innovation Center in up to 500 FQHCs and provide patient-centered, coordinated care to up to 195,000 people with Medicare.

· A new State plan option under which patients enrolled in Medicaid with at least two chronic conditions can designate a provider as a "health home” that would help coordinate treatments for the patient. States that implement this option will receive enhanced financial resources from the Federal government to support "health homes” in their Medicaid programs.

The Innovation Center also announced an upcoming opportunity for States to apply for contracts to support development of new models aimed at improving care quality, care coordination, cost-effectiveness, and overall experience of beneficiaries who are eligible for both Medicare and Medicaid, also known as "dual eligibles.” The Innovation Center expects to award up to $1 million in design contracts to as many as 15 state programs for this work.

More information on the CMMI and these initiatives is available at: www.innovations.cms.gov.


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