decisionhealth Newsletters, Part B News - 2015 Issue 11 (November)
Case study: Lay the groundwork for a successful medical home transition
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Article Overview
This article examines how a large regional primary care network prepared for a patient-centered medical home transition and the early steps that supported implementation. It is relevant to practice leaders, administrators, and care transformation teams evaluating medical home models, payer relationships, infrastructure needs, and readiness planning. The discussion covers contract preparation, organizational structure, health IT and care management preparation, and the use of data to support payer conversations.
Why This Topic Matters
Organizations considering a patient-centered medical home model need to understand the preparation required before moving into payer negotiations and operational change. The article highlights the kinds of strategic planning and foundational work that can affect whether a transition is feasible and sustainable.
What You Will Learn
- How a regional primary care network approached a patient-centered medical home transition
- Why payer negotiations require advance preparation
- What kinds of organizational and infrastructure planning are commonly involved
- How data collection can support medical home readiness discussions
- What broad readiness factors practices consider when forming a medical home network
Who Should Read This
- Primary care physicians
- Practice managers
- Health system administrators
- Care management leaders
- Value-based care teams
- Medical group executives
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