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Payers,
integra
ted delivery networks (IDNs), accountable care organizations (ACOs) and states are increasingly sponsoring initiatives to develop patient-centered medical homes (PCMHs).
Many initiatives utilize advanced compensation models that incorporate some form of capitation and/or pay-for-performance (P4P) bonus. The shared-savings model also is catching on. From 2009 to 2013, the number of PCMH initiatives utilizing incentives has increased from 26 to 114. These initiatives have grown from 5 million to 21 million covered lives. PCMHs are using a number of tools to earn the bonuses available under the incentives: open scheduling, expanded hours, better communication between patients, providers and staff, disease registries, online patient portals, information technology, and health information exchange among providers. |
MedSpan Research's Perspective
Healthcare companies that market drugs and other products for outpatient use for patients with chronic diseases should address these needs.
For example, cl
inical trials should be designed to deliver data that address the types of incentives under which PMCHs operate. Marketing messages should clearly convey how products will help PCMHs attain their incentive payments. Value-added programs should support the inter-connectivity between primary care physicians and specialists and support improved cooperative decision-making between physicians and patients.
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