Telemed J E Health - Technologies in the patient-centered medical home: examining the model from an enterprise perspective.

Tópicos

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Resumo

Fee-for-service reimbursement has fragmented the healthcare system. Providers are paid based on the number of services rendered instead of quality, leading to the cost of care rising at a faster rate than its value. One approach to counter this is the Patient-Centered Medical Home (PCMH), a primary care model that emphasizes team-based medicine, a partnership between patients and providers, and expanded access and communication. The transition to PCMH is facilitated by innovative technologies, such as telemedicine for additional services, electronic medical records to document patients' health needs, and online portals for electronic visits and communication between patients and providers. Implementing these technologies involves tremendous investment of funds and time from practices and healthcare organizations. Although PCMH does not require such technologies, they facilitate its success, as care coordination and population management necessitated by the model are difficult to do without. This article argues that there is a paradox in PCMH and technology is at its center. Although PCMH intends to be cost effective by reducing hospital admissions and ER visits through providing better preventative services, it is actually a financial risk due to the very real upfront costs of implementing and sustaining technologies needed to carry out the intent of the PCMH model, which may not be made up immediately, if ever. This article delves into the rationale behind why payers, providers, and patients have adopted PCMH regardless of this risk and in doing so, maps out the roles that innovative technologies play in the conversion to PCMH.

Resumo Limpo

feeforservic reimburs fragment healthcar system provid paid base number servic render instead qualiti lead cost care rise faster rate valu one approach counter patientcent medic home pcmh primari care model emphas teambas medicin partnership patient provid expand access communic transit pcmh facilit innov technolog telemedicin addit servic electron medic record document patient health need onlin portal electron visit communic patient provid implement technolog involv tremend invest fund time practic healthcar organ although pcmh requir technolog facilit success care coordin popul manag necessit model difficult without articl argu paradox pcmh technolog center although pcmh intend cost effect reduc hospit admiss er visit provid better prevent servic actual financi risk due real upfront cost implement sustain technolog need carri intent pcmh model may made immedi ever articl delv rational behind payer provid patient adopt pcmh regardless risk map role innov technolog play convers pcmh

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