(presentations online here)

Paul Grundy, MD - “Think huge”

Purchaser guide - there have been many of these, but the first time one prepared with consumers and providers

Health Information Technology - help educate, advocate, demonstrate around PCMH the technology that will be necessary to help physicians make the transformation

Panel - What Does it Cost to Become a Patient Centered Medical Home?

Bob Berenson, MD, Senior Fellow, The Urban Institute

“A good medical home”- patient with superficial phlebitis treated via one office visit, 6 phone calls, 6 e-mails, including hematologic consultation, one reimbursement for in-office care

Julia Pillsbury, DO, Alternate RUC Representative, American Academy of Pediatrics

New G codes for Medical Home-type work. Crosswalked to currently existing codes, some subsume current G codes, some do not. Tier 1, 2, and 3, between 6.5 to 9.2 minutes per patient per month, may be around $50/member/month.

Patient Partnership

Sabrina Corlette, Director of Health Policy, The National Partnership for Women and Families

Grant from the Wellpoint Foundation to introduce consumer advocates to PCMH and involve them and shaping it. Environmental scan, Focus Groups, Develop consumer/patient principles

Debbie Peikes, Ph.D., Mathematica Policy Research

We should involve patients and providers in primary care assignment, using claims retrospectively is expedient perhaps but has difficulties

May 6th through May 7th:

• The Happy Hospitalist: This Deserves The Middle Finger - I guess it is controversial (the RUC report on Medical Home Reimbursement)
• AMA (RBRVS) RUC Medicare Medical Home Demonstration project recommendations - RUC and Medical Home. Might this be controversial?
• reportonbusiness.com: Asking ‘why’ again and again is harder than you think, but it works - Good description of the 5 Why's Exercise
• What is Hypertension? - WrongDiagnosis.com - Factoids about Hypertension, useful in planning a community intervension
• Cigna clients seek answers after expiration -
• Cigna ends pact with hospitals, leaves thousands in the lurch - This local story has not made the national news. I wonder why?