A three-year "medical neighborhood" demonstration project using health information technology to identify high-risk patients and coordinate their care is getting started, and it's being paid for with a $20.75 million grant from the Center for Medicare and Medicaid Innovation. The center expects it will see more than $53.8 million in savings from the participating 15 healthcare organizations, which provide care for some 157,000 Medicare and Medicaid beneficiaries.
The grant was awarded in June and will cover services provided by TransforMED, a medical-home consulting service owned by the American Academy of Family Physicians; VHA, an Irving, Texas-based national network of not-for-profit healthcare organizations; and Phytel, a Dallas-based provider of population health-management tools.
The organizations will help as many as six primary-care practices in participating communities transition to the patient-centered medical-home model, which emphasizes coordinated care, increased care access and continuous quality improvement. The intent then is to connect the practices with other providers in the communities to create a medical neighborhood network, according to a TransforMED news release.