CDPHP Medical Home Pilot Results in Substantial Quality Improvements and Cost Savings

Rewarding Primary Care Practice Reform with Physician Payment Reform

CDPHP Medical Home Pilot Results in Substantial Quality Improvements and Cost Savings

Pilot Practices Cost Growth Reduced to 2/3 That of Other Regional Providers

Dear Healthcare Executive,

CDPHP's nationally-recognized patient-centered medical home pilot resulted in dramatic declines in medical cost growth at three local physician practices. The pilot, designed to help physician practices transform their processes, improve care, and increase reimbursement for primary care physicians, showed that important opportunities exist to improve primary care in the area.

The three physician practices involved in the CDPHP® medical home pilot experienced a 9 percent reduction in the rate of overall medical cost increases—a savings of $32 per member, per month—as compared to other area physician practices, according to a Verisk Analytics™ independent analysis released by the Albany-based health plan. The practices—Community Care/Latham Medical Group, Community Care/Schodack, and CapitalCare Family Practice Clifton Park—also demonstrated improvements in quality measures, most notably, the proper use of antibiotics and diabetic eye exams.

Data from the first year of the pilot also revealed significant reductions in advanced imaging utilization and emergency room visits. Total hospital admissions were 24 percent lower than otherwise expected among the population served by the practices participating in the pilot.

The independent analysis indicates that the novel payment model, in conjunction with the practice transformation support, made a difference in the way care was compensated and provided.

Bruce Nash, M.D., MBA, senior vice president of medical affairs and chief medical officer for CDPHP shared with participant's in last month's webinar, Rewarding Primary Care Practice Reform with Physician Payment Reform: A Medical Home's Experience, how CDPHP created a significant bonus potential for primary care physicians to really differentiate between performance levels.

In case you missed this webinar, you still have a chance to hear this highly-rated program.

Register to listen today or order your training DVD or CD:
http://store.hin.com/product.asp?itemid=4162

Dr. Nash described:

  • CDPHP's risk-adjusted comprehensive base payment methodology;

  • Using IHI' Triple Aim to create a significant bonus payment opportunity; and

  • Preliminary results from Phase One of the project from the practice and the health plan perspective, including the cost savings on a risk-adjusted basis for pilot participants and its potential bottom line impact for the health plan and the participating practices.

You'll also get to listen to the question and answer session to hear how to: incorporate the Patient Centered Medical Home and quality payments for PCPs into a current productivity only base formula with specialists in multi-specialty groups; improve practice efficiency and effectiveness with the use of care coordinators in the practice setting; and utilize surrogate performance measures to allow for real time physician feedback to address claim lag issues.

Here's what participants said about the webinar:

The webinar provided excellent details of the medical home in action, said Christy Dasch-Crouse with the provider relations department at Johns Hopkins Healthcare

You can "attend" this program right in your office and enjoy significant savings — no travel time or hassle; no hotel expenses. It’s so convenient! Invite your staff members to listen to this conference. We will send you a DVD or CD-ROM of the conference proceedings or a link to our web site with a username and password. You can log in and listen to the program right from your computer — any time of the day or night, whenever convenient for you and your colleagues — and benefit from the archived recording of the conference, including the Q&A period.

To register for the on-demand re-broadcast of Rewarding Primary Care Practice Reform with Physician Payment Reform: A Medical Home's Experience or order the training DVD or CD-ROM, please visit:
http://store.hin.com/product.asp?itemid=4162

I hope you find it useful.

Cordially,

Melanie Matthews
Executive Vice President
The Healthcare Intelligence Network