The following PCMH payment resources were developed by the Safety Net Medical Home Initiative.
Paying for the Medical Home Part 1: Payment Models to Support Patient-Centered Medical Home Transformation in the Safety Net (October 2010)
In order for the PCMH Model of Care to be sustainable, new payment models must address medical home operating costs that are typically not reimbursed in the predominant fee-for-service environment (e.g., phone visits) and incentivize high-value, first-contact primary care.
Paying for the Medical Home Part 2: Social, Behavioral and Environmental Factors in Payment Models (August 2011)
Primary care payment models that do not account for patient/family social, behavioral or environmental factors (which require additional provider/staff time and resources to address) in addition to health factors may put both providers and patients at a disadvantage. This policy brief presents ideas about how payment models can be improved to better support patient-centered medical home transformation in the safety net.
Enhanced PCMH Payment Models & Mechanisms (March 31, 2010)
Moderator: Kathryn Phillips, MPH, Qualis Health
Speaker: Michael Bailit, MBA, Bailit Health Purchasing LLC
Audio & video program
Massachusetts Patient-Centered Medical Home Initiative Council
White paper–Framework for Design and Implementation white paper (November 2009)
Visit the Massachusetts PCMHI website.
The Commonwealth Fund
Case study–CareOregon: Transforming the Role of a Medicaid Health Plan from Payer to Partner (July 2010)
Oregon Primary Care Association
Video–Faces of Oregon Healthcare: A Complex Case: Quality Care for Those In Need (2010)