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Colorado is the site of a Multi-Payer, Multi-State Patient-Centered Medical Home Pilot with participants at both the local and national levels. Convened by HealthTeamWorks, this project began in 2009 and runs through 2012.
The Patient-Centered Medical Home (PCMH) Pilot is one of many national endeavors initiated to demonstrate financial viability and improved quality of care.
The PCMH model is being tested in 16 family medicine and internal medicine practices along the Colorado Front Range, as well as in practices in Cincinnati, our partner region. After a preparation period, payment for the pilot began in May 2009, once practices met requirements to achieve at least a Level 1 NCQA* Medical Home designation. The participating health plans — Anthem-Wellpoint, United Healthcare, Humana, Aetna, CIGNA, Colorado Medicaid and CoverColorado — will pay practices for up to 30,000 covered patients.
HealthTeamWorks serves as the convening organization for the PCMH Pilot practices in Colorado. We also provide in-office coaching, innovative technology and learning collaboratives that bring participating practices together to share experiences. The pilot is evaluated by Meredith Rosenthal, PhD, from the Harvard School of Public Health, to determine the effect on quality, cost trends and satisfaction for patients and their healthcare teams. Funding for the pilot has been generously provided by The Colorado Trust and The Commonwealth Fund.
The PCMH is based on years of research that supports the need to bolster and reorganize the delivery of primary care and how it's paid for. Every segment of the healthcare system stands to benefit from the patient-centric approach: patients, providers, employers and payers. This is a period of discovery to learn what works and what doesn’t. It's an important step toward healing our broken healthcare delivery system.
*National Committee for Quality Assurance
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