Medical Home Project
About the Medical Home Project Pillar
The NH Citizens Health Initiative Multi-Stakeholder Medical Home Pilot has been a collaboration among the Initiative's medical home workgroup, the Center for Medical Home Improvement, and the four private NH Health Plans: Harvard Pilgrim Health Care, CIGNA, Anthem, and MVP Healthcare, as well as NH Medicaid. The goal of the pilot has been to value, prescribe, and reward medical care that is tightly coordinated and of superior quality and efficiency. The two-year medical home pilot ended on December 31, 2011; an evaluation is currently in progress.
The New Hampshire Citizens Health Initiative Multi-Stakeholder Medical Home Pilot represents a collaboration among the Initiative medical home workgroup, the Center for Medical Home Improvement and the four private New Hampshire Health Plans: Harvard Pilgrim Health Care, CIGNA, Anthem, and MVP Healthcare as well as NH Medicaid. The goal of the pilot is to value, prescribe and reward medical care that is tightly coordinated and of superior quality and efficiency.
Planning for the project began in January of 2008, with sites selected in December 2008. Payment to the pilot sites for the two year pilot began on June 1, 2009 and ended on December 31, 2011.
The nine pilot sites selected for the project represent the full spectrum of practice types and sizes, including a residency program, with geographic distribution that covers nearly the entire state, in both urban and rural settings. The practices selected provide services for more than 39,000 commercially insured members, and almost 130,000 unique patient visits per year, or greater than 10% of the state population.
The patient-centered medical home concept re-centers health care on the patient’s needs and priorities by providing primary, preventive, and chronic condition care that is personalized for each patient. It emphasizes the use of care coordination and health information technology, including electronic health records, to help prevent and manage chronic disease. It also features consumer conveniences such as same-day scheduling and secure e-mail communications. The medical home strengthens the patient-physician relationship by allowing the doctor and team of health professionals to spend more time with each patient and to develop and follow through on an individualized plan of care.
Medical homes have been shown to improve health outcomes, reduce costs and improve patient, family, physician and staff satisfaction. The practices recognized as patient-centered medical homes will receive per member per month compensation for the time and work physicians and their staff spend to provide comprehensive and coordinated services. This approach is distinctly different from the current system which solely pays for procedures and treatment of individual diseases.
The success of the pilot will be evaluated through a rigorous, multi-state design. It will include qualitative, quantitative and satisfaction measures, assessing impacts on utilization, both appropriate and inappropriate, cost and, quality. The evaluation will rely on claims data from the NH Comprehensive Health Information System (CHIS), an all payer claims database, as well as direct medical chart data.
For more information on this working group contact Megan Spencer.
- March 22, 2011 Pilot Sites
- March 8, 2011 Steering Committee
- November 9, 2010 Steering Committee
- October 26, 2010 Pilot Sites
- September 27, 2010 Pilot Sites
- June 9, 2009 Steering Committee
- May 26, 2009 Pilot Sites
- May 25, 2010 Steering Committee
- April 14, 2009 Steering Committee
- March 24, 2009 Pilot Sites
- March 10, 2009 Steering Committee
- February 10, 2009
Recent News and Documents
- June 2011: Implementing Patient-Centered Medical Home
- January 2011: Hope Lies in Health Care Experiments, Concord Monitor
- 2009 Pilot Site Survey Results
- 2009 Medical Home Pilot Summary
- NH MultiStakeholder Survey Topline
- June 2009: Press Release
- Final Recommendations Medical Home Evaluation Design
- February 2009: Medical Home Overview
- October 2008: NH Multi-Stakeholder Medical Home Overview
- Medical Home Handbook
- Higher Medicare pay earmarked for practices in medical home trial
- May 12, 2008: SEPA Presentation
Medical Home Resources
- Ammonoosuc Community Health Services
- Ammonoosuc Community Health Services Leadership Presentation
- Ammonoosuc Community Health Services Patient Safety Presentation
- Dartmouth-Hitchcock Keene: Our Patient-Centered Medical Home Journey
- Life Long Care
- Derry Medical Center Londonderry Family Practice
- Lamprey Health Care Medical Home
- Westside Healthcare Medical Home Program
- Comparison of Pay for Performance Programs in NH
- Patient Engagement PACT
- Patient Centered Medical Home with Hows Your Health
- Center for Medical Home Improvement
- Purchaser Guide to the Patient Centered Medical Home
- PCMH Evidence and Transformational Change
- Primary Care: Foundation for an Evidence-Based Health System
- Closing the Divide: How Medical Homes Promote Equity in Health Care
- Making Medical Homes Work: Moving from Concept to Practice
- NCQA Physician Practice Connections: Patient-Centered Medical Home (PCMH)
- NH Multi-Stakeholder Patient-Centered Medical Home Handbook