January 31, 2012

Insurer Research Finds Benefit of PCMH

It is no news to those of you out there who provide on-site services that a patient-centered medical home model is a key factor in getting and keeping employees healthy; to say nothing of saving money in the process.  But, WellPoint, the nation’s largest insurer covering more than 34 million lives nationally, conducted research which demonstrated that managing complex patients in a PCMH model reduced inpatient admissions by 18% and ER visits by 15% in the population studied.  As a result, WellPoint will be changing its payment plan for physicians in the last quarter of this year to provide for increased dollars for care management.   The goal is to change entirely to this payment methodology for primary care by the end of 2014.

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