A new report from the Network for Regional Healthcare Improvement promotes the concept of the patient-centered medical home, but urges payers to compensate primary-care practices for achieving better patient outcomes and not necessarily for meeting newly created standards for designation as a medical homeespecially those metrics whose benefits are unproven. Pay for Innovation or Pay for Standardization? is the third report in a series called From Volume to Value, Transforming the Health Care Payment and Delivery Systems to Improve Quality and Reduce Costs that has been generated from the national Summit on Healthcare Payment Reform, which took place last July 31. Payers should wait for additional evaluations regarding which specific processes and structures produce better outcomes before establishing or utilizing strict standards for which organizations can serve as medical homes, according to the report. The report also declares that the current fee structure should be completely replaced and primary-care providers should receive a single, severity-adjusted comprehensive payment for a persons outpatient care based on costs and outcomes. It also concludes that such reforms are not possible unless a majority of healthcare payers participate because it would be difficult for providers to process care for some patients where reimbursement is based on quality and others who remain in a fee-for-service system.Submit a letter to the Modern Physician Reader Blog. Please include your name, title, company and hometown. Modern Physician reserves the right to edit all submissions.
Report backs medical homes, mum on funding
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