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【正文】 A medical home recognition: NYS Medicaid Incentive Pool ? FFS: $$$ per visit for Levels 1/2/3 ? Managed Care: $2/$4/$6 pmpm for Levels 1/2/3 ? Level I phased out after December 2022 – HIT meaningful use pliance ? Medicaid: Up to $63,750 over 6 years ? Medicare: Up to $48,000。 penalties beginning in 2022 ? Both are plex, expensive, a challenge for selfimplementation – Current focus on PCDC program development Excellent Healthcare in Every Neighborhood. All rights reserved. PCDC 2022 5. Lessons amp。 Reflections Excellent Healthcare in Every Neighborhood. All rights reserved. PCDC 2022 5. Reflections: The Nature of Organizational Change ? The underappreciation of implementation – People know what needs to be changed. They lack knowledge of how to change – Transforming the model of primary care requires major, thoroughgoing anizational and cultural change. – Myths: ? It can been done ―fast and cheap‖ ? It’s a project. Once done, we can move on to other things. ? It can be delegated from the top – The importance of technical assistance, willingness to invest in the change process ? The underappreciation of everyday operations – Practice redesign, HIT as preconditions for clinical improvements, quality Excellent Healthcare in Every Neighborhood. All rights reserved. PCDC 2022 Reflections on Safety Net Settings ? Private practice – Strong on continuity, access and efficiency – Isolation raises concerns about quality, coordination – Setting is simpler, change is easier – Small size, spare resources pose a challenge to implementing HIT, PCMH ? Community Health Centers – Continuity, access, efficiency not assured – FQHCs offer robust model, many PCMH functions, experience in quality improvement ? Special Needs Providers – Already offer a ―care home,‖ instinctually understand medical home ? Hospital OPDs – Broad scope of service available (specialties, ancillaries) – Continuity, access, efficiency present challenge in teaching environment – Primary care is not the institutional focus or priority Excellent Healthcare in Every Neighborhood. All rights reserved. PCDC 2022 Reflections: PCDC as a Model for Expanding and Transforming Primary Care ? Leverages private investment for small investment of public resources。 availability of capital (relative to expense) ? Produces measurable, sustainable outes, able to reach scale。 builds lasting munity infrastructure。 delivers important munity development benefits ? Works across wide range of provider types (munity health centers, hospitals, private practitioners) ? Is adaptable to localities, states, foundations ? Offers excellent platform upon which to build additional programs and services ? Value of an anization dedicated solely to primary care ? Builds a strong munity of interest in the success of primary care. Excellent Healthcare in Every Neighborhood. All rights reserved. PCDC 2022 Contact Ronda Kotelchuck Executive Director Primary Care Development Corporation Phone: (212) 4373917 EMail: Website:
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