Medical groups with 10 or fewer physicians that received financial and organizational support were more likely than those not receiving aid to achieve advanced designation as a patient-centered medical home, a small study found.
The research, published in the Journal of General Internal Medicine, compared the progress toward National Council for Quality Assurance designation as a patient-centered medical home among 18 solo or small medical groups receiving support and 14 groups without. Those that received support were provided resources from EmblemHealth, a New York insurer, which hired consultants and nurse care managers to aid the groups in their transition to the patient-centered medical home model. The insurer also paid a supplemental fee to these groups to achieve PCMH designation.
Consultants helped the groups assess readiness to become patient-centered medical homes and identify their top three diagnoses as targets for guideline-driven care. Consultants also provided support for policy and procedure development; the use of electronic health records; and development of care management protocols. EmblemHealth also embedded nurse care managers in intervention groups for 18 months to help engage complex patients. Finally, groups with support received a pay-for-performance bonus for two years, and EmblemHealth covered the cost of PCMH applications.