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Should Specialists Staff Medical Homes, etc?

8 Responses

1. Lee Barbieri, on December 14, 2009 at 6:18 PM said:

   Specialists in Medical Homes – yes, they are needed and in some cases can drive the process. I work in a nephrology practice. The physicians find that PCPs welcome the nephrologist’s participation in managing patients with co-morbidities.

   In a Med Home, the specialists can be a significant addition to managing the complexities, but leave the more frequent visits, or follow up appts, to the PCP. The financial structure needs to develop so that the specialist can be reimbursed.

   The elephant in the room is the question: “What is a specialist worth?” I think we have to solve that before the model will be successful.

   Lee Barbieri

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2. Dr. Pruitt, on March 1, 2010 at 9:25 PM said:

   BCBSTX censors D. Kellus Pruitt DDS

   Blue Cross Blue Shield of Texas purchased an ad on Free Insurance Guide announcing their “New Medical Home from Blue Cross Blue Shield of Texas.” (no byline)

   http://free-insurance-guide.com/insurance-guide/new-medical-home-from-blue-cross-blue-shield-of-texas/comment-page-1#comment-3

   BCBSTX requested comments following their ad, but nevertheless, my questions are still “awaiting moderation.”

   D. Kellus Pruitt DDS | February 24th, 2010

   I noticed that dentists are not included in your “medical homes,” BCBSTX. Why not?

   D. Kellus Pruitt DDS

   Your comment is awaiting moderation.

   ———————————–

   D. Kellus Pruitt DDS | February 24th, 2010

   How long does it take for moderation?

   Your comment is awaiting moderation.

   ————————————

   D. Kellus Pruitt DDS | February 26th, 2010

   I’m still waiting on someone to answer my question about dentists being included in BCBSTX’s medical home.

   Why won’t anyone answer me?

   D. Kellus Pruitt DDS

   Your comment is awaiting moderation.

   ————————————–

   So what are you afraid to discuss about medical homes, BCBSTX?

   D. Kellus Pruitt, DDS

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3. Cliff, on January 13, 2011 at 9:49 PM said:

   ACP Position Paper on Medical Homes

   Regarding specialists:

   Click to access pcmh_neighbors.pdf

   Cliff

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4. Dr. Allen, on December 5, 2011 at 4:09 PM said:

   Medical Homes Might Not Transform Healthcare

   HIT-dependent practices where personal physicians coordinate all of a patient’s care might not significantly improve quality of care, according to a new scientific study.

   http://www.informationweek.com/news/healthcare/clinical-systems/232200598

   But, some clinicians question the study’s conclusion.

   Dr. Allen

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5. Nurse Ashley, on June 25, 2012 at 9:03 PM said:

   Docs Get Bonuses for Medical Home Participation

   Patient-centered medical home programs run by commercial insurers have saved these companies money, and physicians are benefiting financially.

   http://www.ama-assn.org/amednews/2012/06/25/bisd0625.htm

   Any comments.

   Nurse Ashley

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6. Dr. Allen, on February 27, 2014 at 2:11 PM said:

   More on Medical Homes

   And, the Failure of a Huge Medical Home Initiative to Reduce Health Care Costs

   http://diseasemanagementcareblog.blogspot.com/2014/02/more-on-failure-of-huge-medical-home.html

   Dr. Allen

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7. Kid Doctor, on October 30, 2014 at 3:37 PM said:

   Patient-Centered Pediatrics
   [Coordinating Care for Kids]

   As a pediatrician, I know that most children’s health system experience is limited to the pediatrician’s office, but those with chronic or complex medical needs often deal with care that is fragmented, duplicative and crisis-driven. This leads to stress on families and wasteful utilization.

   For example, an estimated 20 percent of children’s hospital readmissions are preventable.

   Better care for these kids requires better coordination, and new encouragement is coming in the form of patient-centered care innovations and value-based payments.

   But, the jury is still out.

   Kid Doctor

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8. Ann Miller RN MHA, on November 20, 2014 at 8:50 PM said:

   Survey – 75% of specialists have received at least one clinically inappropriate referral last year

   According to a recent Kyruus Physician Referral survey:

   • 7.8% of all referrals are considered clinically inappropriate.
   • 87% believe that referral misdirection happens with a lack of reliable information.
   • 31% of insufficient information is endemic to call centers.
   • 32% of insufficient information is endemic to referring offices.
   • 62% of insufficient information is endemic to referring physicians themselves.
   • 15% said inappropriate referrals due to process relying on personal relationships between physicians.

   Note: Survey respondents were allowed to select more than one response.

   Source: Kyruus

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