TransforMED and collaborative partners VHA and Phytel begin implementation of Patient-Centered Medical Neighborhood demonstration project
LEAWOOD, Kan. – About 157,000 Medicare and Medicaid beneficiaries in up to 15 health systems and provider organizations across the nation will begin participating in a Patient-Centered Medical Neighborhood (PCMN) demonstration project as part of a collaboration among TransforMED, Phytel and VHA Inc.
Funded by a three-year, $20.75 million cooperative agreement awarded by the Center for Medicare and Medicaid Innovation (Innovation Center), the PCMN project is scheduled to begin implementation this month.
This award is part of the Health Care Innovation Awards program, a Department of Health and Human Services initiative investing up to $1 billion to test promising new approaches that aim to improve health care and lower program costs for recipients of Medicare, Medicaid and the Children's Health Insurance Program (CHIP).
TransforMED, VHA and Phytel will support up to six primary care practice transformation efforts within each participating community to create or continue development of Patient-Centered Medical Homes (PCMHs) into Patient Centered Medical Neighborhoods (PCMN). PCMHs connect primary care with other community-based health care providers to develop the "Patient-Centered Medical Neighborhood" concept. Designed to improve and strengthen collaborative relationships among primary care practices and other providers such as hospitals and specialists, the PCMN builds on proven methodologies and solutions to create more efficient, coordinated health care delivery networks that improve care at a lower cost.
The collaborative PCMN project plans to achieve the following goals by year three of the demonstration:
Health care organizations currently participating in the PCMN demonstration project are:
The collaboration will leverage TransforMED's PCMH primary care expertise with Phytel's population health management solution to identify and automate care gaps, patient outreach, care management, patient engagement, and performance evaluation. VHA will bring expertise in clinical quality improvement and knowledge transfer strategies. This potent combination is expected to yield significant improvements in clinical integration and clinical outcomes at lower costs.
TransforMED CEO Terry McGeeney, MD, MBA, FAAFP, who will serve as the project's executive sponsor, said: "It's a great time to be a primary care physician, and we are eager to get started on this exciting project. We are going to create the ideal situation for our nation's health care system through this award, by building these medical neighborhoods on a strong foundation of transformed PCMH primary care practices that will align with the health systems and specialists to ensure that care is comprehensive, coordinated and managed throughout the communities."
"The concept of the Patient-Centered Medical Neighborhood has enormous potential to provide a template for effective care delivery that health care providers nationwide can replicate in their communities as they progress in their journey to achieve efficient population health management," said Peggy Naas, MD, MBA, VHA vice president for physician services.
Steve Schelhammer, CEO of Phytel, commented, "We are eager to demonstrate for health care organizations in communities across the U.S. that population health management, when done right, can ensure all of their patients receive appropriate care and are fully engaged in disease and illness prevention."
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The project described is supported by Funding Opportunity Number CMS-1C1-12-0001 (the "FON") from the Department of Health and Human Services ("HHS"), Centers for Medicare and Medicaid Services, Center for Medicare and Medicaid Innovation ("CMS"). Pursuant to said FON, TransforMED and CMS have entered into a cooperative agreement to explore the development of new models for the delivery of better health, better health care and lower costs through improved quality for Medicare, Medicaid and Children's Health Insurance Program ("CHIP") enrollees. The project executed pursuant to the cooperative agreement shall not restrict the freedom of choice of providers/services for Medicare, Medicaid and/or CHIP patients in fee-for-service ("FFS") plans. The project contents are solely the responsibility of TransforMED and its project affiliates, Phytel and VHA Inc., and do not necessarily represent the official views of HHS or any of its agencies.
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